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Payer Matrix Jobs (NOW HIRING)

Helms & Company Inc

Payer Contracts Manager

Concord, NH · On-site

$89K - $119K/yr

Contract Matrix & Documentation Management * Maintain and routinely update healthcare payer contract matrices for each client, including: * Reimbursement rates and methodologies * Product specific ...

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How much do payer matrix jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for payer matrix in the United States is $62.51, according to ZipRecruiter salary data. Most workers in this role earn between $49.04 and $67.31 per hour, depending on experience, location, and employer.

What are the typical responsibilities of someone working in a Payer Matrix Analyst or Specialist role?

Professionals in a Payer Matrix Analyst or Specialist role are primarily responsible for analyzing health insurance payer contracts, maintaining payer data structures, and providing support for reimbursement optimization strategies. They often collaborate closely with billing, revenue cycle, and contracting teams to ensure that payer requirements and updates are accurately reflected in claims processing systems. Daily tasks might include reviewing payer guidelines, updating payer matrix databases, troubleshooting claim denials, and preparing reports for leadership. This role offers insight into the business side of healthcare and can be a springboard to advanced positions in reimbursement analysis, revenue cycle management, or healthcare contracting.

What are the key skills and qualifications needed to thrive in the Payer Matrix position, and why are they important?

A professional working within a Payer Matrix (often titled Payer Matrix Analyst or Payer Strategy Specialist) needs a solid understanding of healthcare reimbursement, insurance structures, and data analysis, typically backed by a degree in health administration, business, or a related field. Proficiency with claims management platforms, payer databases, and advanced Excel or analytic tools is highly valued. Strong attention to detail, communication skills, and the ability to collaborate with cross-functional teams help individuals succeed in this area. These skills are essential for ensuring accurate payer contract management, optimizing reimbursement, and supporting healthcare organizations’ financial health.

What is a Payer Matrix job?

A Payer Matrix job typically involves working with pharmaceutical financial assistance programs, insurance payers, and healthcare providers to help patients access and afford their medications. Employees in these roles may assist with verifying insurance coverage, coordinating financial aid, and ensuring compliance with healthcare regulations. Positions can range from customer service and case management to more specialized roles in reimbursement and patient advocacy.

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Payer Matrix jobs near you
Infographic showing various Payer Matrix job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $130,025 per year, or $62.5 per hour.
CREDENTIALING & ENROLLMENT SPECIALIST - ASC

CREDENTIALING & ENROLLMENT SPECIALIST - ASC

StrideCare

Dallas, TX • On-site

Full-time

Posted 8 days ago

Job description

Description:

Job Summary


The ASC Credentialing & Enrollment Specialist is responsible for managing the credentialing, recredentialing, and privileging process for healthcare providers within the Ambulatory Surgery Center and StrideCare medical groups. This role ensures that all providers maintain active and compliant credentials with health plans, ASCs and regulatory entities.


Essential Functions

  • Submit initial and reappointment applications to commercial, IPA & MCO Plans to ensure PAR and effective dates.
  • Primary Source Verify state license, DEA, hospital affiliations, certifications, OIG, SAM, NPDB and professional work history.
  • Maintaining and updating CAQH profiles to ensure continuous payer compliance.
  • Tracking license, certification, malpractice, and DEA expiration dates to ensure timely renewals.
  • Ensure compliance with NAMSS, CMS, Joint Commission, AAAHC and ASC bylaws for medical staff members.
  • Ensure compliance with Federal, state and payer specific regulations.
  • Track status of onboarding activities and provide updates to internal departments.
  • Facilitate Initial and reappointment applications for acquisitions, medical group and the ASC.
  • Obtain and organize information and documentation pertinent to acquisitions, practices and providers.
  • Maintain Credentialing database ensuring up to date information.
  • Act as a liaison between Healthcare organizations, commercial and government payers to resolve onboarding and enrollment issues.
  • Ability to multi- task in a fast-paced environment
  • Maintain the organization’s Payer Matrix
  • Work with RCM to identify denial trends related to credentialing or enrollment issues.
  • Knowledge of Medicare, Medicaid, commercial and government enrollment processes.
  • Exceptional organization skills and attention to detail.
  • Participating in special projects and completing other duties as assigned.
  • Processing and tracking hospital appointment and reappointment applications for provider privileges.

Qualifications and Education Requirements

  • MUST reside in AZ, CO, FL, GA, MD, OK, SC, TN, TX, or VA
  • High School Diploma or equivalent, CPCS preferred.
  • 3+ years in the healthcare industry
  • Compliance with all HIPAA policies
  • Microsoft Office experience (Excel, Word, Outlook, PowerPoint)
  • Excellent organization and communication skills
  • Handle multiple projects simultaneously in a fast-paced environment
  • Satisfactory criminal background check

*StrideCare is an Equal Opportunity Employer and is committed to diversity and inclusion in our workforce. We encourage applications from candidates of all backgrounds and experiences.

Requirements: