Payor Relations Manager

About This Role

This role will build and manage relationships with commercial and Medicaid payors to support referral growth, timely authorizations for services, and foster strong ongoing partnerships. The Payor Relations Manager will collaborate with internal teams to ensure smooth coordination between Acorn Health and its payor partners.

Responsibilities

• Manage relationships with assigned commercial and Medicaid payors
• Communicate regularly with payor case managers regarding referrals, authorizations, and active cases
• Support referral growth by helping cases move efficiently through authorization and staffing
• Lead routine meetings with payor representatives to review services, referrals, and performance
• Prepare and share basic reports related to census, referrals, and payor activity
• Partner with internal teams to resolve payor-related issues, delays, or escalations
• Coordinate with Revenue Cycle Management on billing or authorization concerns
• Maintain accurate payor contact information and referral workflows
• Participate in regional planning and collaboration meetings
• Stay informed on payor requirements and state regulations

Requirements

• Bachelor's degree
• 2+ years experience working with healthcare payors (commercial and/or Medicaid MCOs)
• Experience with authorizations, referrals, or payor-facing workflows
• Strong communication and relationship-building skills
• Ability to organize information, manage priorities, and meet deadlines
• Comfort working in a fast-paced, collaborative healthcare environment
• Proficiency with Microsoft Office (Word, Excel, PowerPoint)

Qualifications

• Bachelor’s degree required
• Minimum of 2 years’ experience working with healthcare payors (commercial and/or Medicaid MCOs)

Nice to Have

• Experience in ABA or behavioral health

Skills

* Required skills

Benefits