Payor Relations Analyst (PRA)

SOLVENTUM•San Antonio, TX

1d•Hybrid

About The Position

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients’ lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You’ll Make in this Role As a Payor Relations Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Managing assigned contracted payors as the primary point of contact and subject matter expert, supporting issue resolution and operational alignment. Ensuring compliance with payor contracts, policies, and reimbursement rules across systems and order-to-cash processes. Resolving complex accounts receivable issues, including denials, underpayments, and payment delays, to support cash flow performance. Monitoring payor behavior and policy changes and translating impacts into operational guidance for internal teams. Partnering cross-functionally with Billing, Collections, Order-to-Cash, and Customer Service teams to drive process improvements and educate stakeholders on payor policy updates.

Requirements

Bachelor’s degree or higher (completed and verified prior to start) from an accredited institution AND two (2) years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable OR High School Diploma/GED (completed and verified prior to start) from an accredited institution AND six (6) years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable AND In addition to the above requirements, the following are also required:
Strong understanding of order-to-cash processes.
Ability to analyze and apply payor policies and reimbursement rules operationally.
Strong communication, problem-solving, and relationship management skills.
Ability to manage multiple priorities, escalations, and cross-functional coordination in a fast-paced environment.

Nice To Haves

Experience supporting Commercial, Medicare, Medicaid, and/or Workers’ Compensation payors.
Familiarity with national and regional health plans.
Experience participating in cross-functional projects and/or process improvement initiatives.

Responsibilities

Managing assigned contracted payors as the primary point of contact and subject matter expert, supporting issue resolution and operational alignment.
Ensuring compliance with payor contracts, policies, and reimbursement rules across systems and order-to-cash processes.
Resolving complex accounts receivable issues, including denials, underpayments, and payment delays, to support cash flow performance.
Monitoring payor behavior and policy changes and translating impacts into operational guidance for internal teams.
Partnering cross-functionally with Billing, Collections, Order-to-Cash, and Customer Service teams to drive process improvements and educate stakeholders on payor policy updates.