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Payer Analyst Jobs (NOW HIRING)

Manager, Payer Contract Analytics

Mettawa, IL · On-site

$79K - $95K/yr

As an individual contributor of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting ...

Manager, Payer Contract Analytics

Mettawa, IL · On-site

$79K - $95K/yr

As an individual contributor of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting ...

As an individual contributor of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting ...

Business Analyst, Healthcare Payer Location: Alameda, CA Type: Direct Hire Company located in Alameda, California has an immediate need for a Business Analyst, Healthcare Payer for a direct hire ...

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Payer Analyst information

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$5

$30

$48

How much do payer analyst jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for payer analyst in the United States is $30.38, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $36.06 per hour, depending on experience, location, and employer.

What are the typical challenges faced by a Payer Analyst when working with insurance claims data?

Payer Analysts often encounter challenges related to the complexity and variability of insurance claims data, such as dealing with inconsistent coding, missing information, and navigating different payer requirements. They must pay close attention to detail to identify discrepancies and trends that may impact reimbursements or compliance. Effective communication with both internal teams and external payers is crucial, as resolving issues often requires collaboration across departments and clear documentation. Staying updated on regulatory changes and payer policies is also key to ensuring accurate analysis and reporting.

What are the key skills and qualifications needed to thrive as a Payer Analyst, and why are they important?

To thrive as a Payer Analyst, you need a solid understanding of healthcare reimbursement, claims processing, and analytical skills, typically supported by a degree in healthcare administration, finance, or a related field. Familiarity with claims management systems, data analytics tools like Excel or SQL, and knowledge of payer policies and regulations are essential. Strong attention to detail, problem-solving abilities, and effective communication help you interpret complex data and collaborate with stakeholders. These skills are vital for ensuring accurate reimbursement, optimizing revenue cycles, and maintaining compliance in healthcare organizations.

What is the difference between Payer Analyst vs Claims Analyst?

AspectPayer Analyst

Required CredentialsTypically a bachelor’s degree in healthcare, finance, or related field; certifications like CPC or CCS may be preferred.

Work EnvironmentPrimarily office-based, working with insurance companies, healthcare providers, and billing systems.

Employer & IndustryHealthcare insurance companies, third-party administrators, and healthcare providers.

While both roles involve healthcare data, a Payer Analyst focuses on analyzing payer policies, reimbursement processes, and claims data to optimize revenue. A Claims Analyst primarily reviews and processes insurance claims to ensure accuracy and compliance. The roles often overlap in healthcare insurance settings but differ in focus: one on payer strategies and the other on claims processing.

What is a Payer Analyst?

A Payer Analyst is a professional who works within healthcare organizations to analyze and manage relationships with insurance companies and other payers. Their primary responsibilities include reviewing payer contracts, monitoring reimbursement rates, and ensuring compliance with payer policies to optimize revenue cycle performance. They also identify trends in claim denials and help implement strategies to improve payment outcomes. Payer Analysts play a key role in maximizing revenue and maintaining strong payer-provider relationships within the healthcare industry.
More about Payer Analyst jobs
Infographic showing various Payer Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $63,187 per year, or $30.4 per hour.
Manager, Payer Contract Analytics

Manager, Payer Contract Analytics

AbbVie

Mettawa, IL • On-site

$79K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago


AbbVie rating

8.7

Company rating: 8.7 out of 10

Based on 100 frontline employees who took The Breakroom Quiz

12th of 74 rated pharmaceutical


Job description

Company Description

About AbbVie

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.

Job Description

The Market Access & Patient Services (MAPS) organization within APEX plays an instrumental role in shaping payer market access and patient services strategies for all of AbbVie's domestic brands. As an individual contributor of the Payer Contract Analytics team, you will greatly influence securing market access across all therapeutic areas and payer channels by executing contracting strategies and leading assigned deal model analytics. You will partner with Business Evolution Strategy Development (BESD) functions to build and scale deal analytics that reflect emerging market access and distribution models.

Description

As a key member of the Payer Contract Analytics team, this individual will be responsible for performing contract data analytics via data driven payer level analysis for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. 

Demonstrable expertise in Analytics and Finance is essential for this role, requiring collaboration with cross-functional business partners including Marketing, Finance, field-based Account Managers, and IT. The individual in this role will help to ensure AbbVie has the appropriate pricing and contracting parameters for our current products, as well as future pipeline products.

Key Job Responsibilities

  • Responsible for independently developing analytics related to contracting for key AbbVie brand products & therapeutic areas (Immunology, Migraine, Antipsychotic, GI, Women's Health, HCV) to assess pricing & financial impacts of coverage contracting with National & Regional payers.
  • Provide insights into the Payer/GPO contracting dynamics across Commercial & Medicare channels. Collaborate with stakeholders including Finance, Marketing & Field-based Account Managers to ensure optimized decision making on contracting for access and formulary positioning.
  • Ensure company has appropriate pricing & contracting analytics for current (in-line) & new (pipeline) products, for each payer deal to maximize access across modeled AbbVie products.
  • Perform modeling on deal/ no-deal decision scenarios, inclusive of gross-to-net assessment of any proposed payer contract, ensuring accuracy of analysis, & communicating results & recommendations from analysis to cross-functional stakeholders.
  • Lead and prepare clear, concise financial modeling summaries and payer insights to enable coverage negotiations and deliver favorable contract outcomes.
  • Collaborate and contribute to internal presentations for approval of strategy & read-outs with key stakeholders & independently address contracting analysis questions. Conduct retrospective analysis of payer contract to ensure Actuals align with forecasted financials & adjust contract model inputs, as needed.
Qualifications
  • Bachelor's degree required in Statistics, Economics, Actuarial Science, Business Analytics or another quantitative field of study, & 5 years of work experience in financial modeling &/ or data analytics in pharmaceutical, health care or other industry within a consulting firm or professional services environment.  Advanced degree preferred.
  • Track record of working collaboratively across teams to successfully investigate, model, and deliver analytics-based recommendations to support decision making.
  • Strong self-starter with business and financial acumen - prior experience in pharmaceutical contracting analysis with an emphasis on data and financial analysis would be optimal.
  • Working knowledge and understanding of the ever-evolving pharmacy channel stakeholder economics, including Payers, Pharmacy benefit managers (PBMs), and Group Purchasing Organizations (GPOs).
  • Familiarity with drug price benchmarks across medical and pharmacy benefit channels strongly preferred (e.g., ASP, WAC).
  • Experience analyzing patient claims data (e.g. IQVIA LAAD, Symphony Health data) for Pharmacy channel products. Expert level knowledge of enterprise BI tools like PowerBI to extract/ analyze data.
  • Fluency in multiple programming languages and statistical analysis tools including but not limited to MS Excel, SQL, R, Python, and Git.  Working experience with AWS cloud infrastructure and services (e.g., SageMaker, Bedrock AgentCore) is highly desired.
  • Experience developing and delivering insights effectively to cross-functional business partners and BU leaders.
     
Additional Information

Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: 

  • The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. 

  • We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.

  • This job is eligible to participate in our long-term incentive programs. 

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, ncentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.

AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. 

US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html

US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:

https://www.abbvie.com/join-us/reasonable-accommodations.html


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About AbbVie

Sourced by ZipRecruiter

AbbVie's mission is to discover and deliver innovative medicines that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas: immunology, oncology, neuroscience, eye care, virology, women's health, and gastroenterology, in addition to products and services across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, Facebook, Instagram, YouTube, and LinkedIn.

Industry

Scientific research and development services

Company size

10,000+ Employees

Headquarters location

North Chicago, IL, US

Year founded

2013