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Payer Matrix Jobs (NOW HIRING)

Fresenius Kabi

Director, Payer National Accounts

$165K - $200K/yr

Job Summary The Director, Payer National Accounts is responsible for developing, evolving and ... Ability to lead within the matrix: knows how to get things accomplished both through formal ...

Stcharles

Temporary Insurance Follow-up Specialist

OR · Remote

$22.30 - $30.11/hr

Payer specific billing requirements * Record requests Apply entry to intermediate knowledge of current reimbursement methodologies and billing requirements consistent with SBO complexity matrix. Work ...

Stcharles

Temporary Insurance Follow-up Specialist

OR · Remote

$22.30 - $30.11/hr

Payer specific billing requirements * Record requests Apply entry to intermediate knowledge of current reimbursement methodologies and billing requirements consistent with SBO complexity matrix. Work ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site

$63K - $77K/yr

Maintain Leased, Tiered and Stacked Network Matrix * Proactively research payer policy changes that impact PDA/NADG * Continuously monitor contract performance and value, identifying new targets for ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Maintain Leased, Tiered and Stacked Network Matrix * Proactively research payer policy changes that impact PDA/NADG * Continuously monitor contract performance and value, identifying new targets for ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Maintain Leased, Tiered and Stacked Network Matrix * Proactively research payer policy changes that impact PDA/NADG * Continuously monitor contract performance and value, identifying new targets for ...

North American Dental Group

Contract Analyst

Pittsburgh, PA · On-site +1

$63K - $77K/yr

Maintain Leased, Tiered and Stacked Network Matrix * Proactively research payer policy changes that impact PDA/NADG * Continuously monitor contract performance and value, identifying new targets for ...

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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.

Director, Payer National Accounts

Fresenius Kabi

Remote

$165K - $200K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago

Fresenius Kabi rating

8.4

Company rating: 8.4 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

19th of 73 rated pharmaceutical

Job description

Job Summary
The Director, Payer National Accounts is responsible for developing, evolving and executing the strategic operating plan for their key national accounts and managing the customer(s)' business. The employee is accountable for securing profitable access for all Biopharma and Specialty products and serves as the single face of Fresenius Kabi for their account(s). They are responsible for managing their customers' entire book of business (commercial, Medicare, Medicaid etc.) They need to have a deep understanding of their business model and growth strategies, establish broad, key executive relationships and look for innovative ways to drive Fresenius Kabi's business.
The individual needs to direct large, stakeholder internal teams, inclusive of business leaders, to create strategies to optimize product revenue, ensure profitable access, maximize outcomes, execute service agreements, develop customer initiatives, etc. The employee is responsible for increased interactions with FK internal leaders cross functionally, providing key customer insights, and reporting on customer, product and innovation progress on an ongoing basis.
Salary Range: $165,000 - $200,000 per year
Position is eligible for the National Account bonus plan. Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most.
Responsibilities
  • Direct the customer's access strategies for the Biopharma portfolio; negotiate product contracts and service agreements and monitor contract compliance.
  • Mobilize Market Access, Medical Affairs and Executive Leadership participation in key customer meetings.
  • Direct the broad stakeholder team to achieve customer and product strategies and goals.
  • Responsible for feeding key customer insights and product trends to HQ personnel, shaping current and future strategies.
  • Responsible for the development and implementation of major customer initiatives.
  • Responsible for developing long-term strategic customer op plans and short-term business plans.
  • Direct the analysis and measurement of key business drivers and objectives including relationship effectiveness, value proposition and other operational and financial indicators for their customer(s).
  • Develop detailed and compelling proposals for plan level contracting strategies within assigned accounts, including financial analyses (sales+/-, Medicaid impact, market share), market research, and competitive response and intelligence overviews. Facilitate approval of these proposals and sell the proposal to the customer.
  • Responsible for the development of the account plan and the overall account strategy to include all stakeholders while working collaboratively to match customer's needs and expectations with internal Fresenius Kabi capabilities (e.g. Medical, Finance, Marketing, R&D, Outcomes Research).
  • Director will communicate on the following: national commercial payers, PBM's, Medicaid, Medicare, clinical pathway organizations, payer owned specialty pharmacies, product distribution updates, and state government affairs.

Requirements
  • Bachelor's degree required. Master's degree preferred.
  • Minimum 10+ years pharmaceutical/biotech experience in sales, sales management, marketing, or national/payer accounts.
  • Experience leading payer initiatives.
  • Exceptional business and clinical acumen.
  • Strong presentation skills: ability to clearly convey ideas to key internal organizational stakeholders as well as specific decision makers in selected accounts.
  • Ability to lead within the matrix: knows how to get things accomplished both through formal channels and the informal network.
  • Strategic thinker: Understands the origin and reasoning behind key policies, practices, and procedures.
  • Ability to interact with senior leaders and work across functional groups to build consensus and action.
  • Demonstrated success in account management.
  • Must have the ability and willingness to travel frequently (auto and air).
  • Must maintain all requirements for access to customer sites, including active and current compliance with all credentialing requirements (may include COVID-19 and annual influenza vaccinations), in order to perform the essential functions of the role at customer locations.
  • Ability to work flexible hours and weekends to meet business/customer needs.
  • Participates in any and all reasonable work activities as assigned by management.

Additional Information
We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability, 401K with company contribution, and wellness program.
Please note that joining our team does not create a guaranteed or permanent employment arrangement. All employment is at-will, meaning both the employee and Fresenius Kabi have the right to end the employment relationship at any time, in accordance with applicable federal and state laws.
Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.

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