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Payer Strategy Manager Jobs in Florida (NOW HIRING)

Pwc

Payer Healthcare Data Scientist, Manager

Miami, FL

$99K - $232K/yr

These individuals analyse client needs, develop operational strategies, and offer guidance and ... our payer clients. As a Manager, you will lead teams and manage client accounts, focusing on ...

Pwc

Payer Healthcare Data Scientist, Manager

Tampa, FL · On-site

$99K - $232K/yr

These individuals analyse client needs, develop operational strategies, and offer guidance and ... our payer clients. As a Manager, you will lead teams and manage client accounts, focusing on ...

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Payer Strategy Manager information

What is the difference between Payer Strategy Manager vs Payer Account Manager?

AspectPayer Strategy ManagerPayer Account Manager
CredentialsBachelor's degree, healthcare or business background, sometimes an MBABachelor's degree, healthcare or business background, often with sales or account management experience
Work EnvironmentStrategic planning, market analysis, cross-functional collaborationClient relationship management, sales, contract negotiations
Employer & Industry UsageHealth insurance companies, pharmaceutical firms, healthcare consultingHealth insurance companies, managed care organizations, pharmaceutical companies

The Payer Strategy Manager focuses on developing and implementing payer strategies through market analysis and cross-functional collaboration. In contrast, the Payer Account Manager primarily manages client relationships, negotiates contracts, and maintains payer accounts. While both roles work within the healthcare payer industry, the Strategy Manager emphasizes planning and market positioning, whereas the Account Manager concentrates on client retention and sales.

What are the key skills and qualifications needed to thrive as a payer strategy manager?

To thrive as a Payer Strategy Manager, you need expertise in healthcare policy, data analysis, contract negotiation, and a background in business, healthcare administration, or a related field. Familiarity with claims management systems, financial modeling tools, and payer-provider platforms is typically required, along with relevant certifications such as Certified Professional in Healthcare Management (CPHM). Strong analytical thinking, relationship-building, and strategic communication skills help set top performers apart in this role. These capabilities are crucial for developing effective payer strategies, optimizing reimbursement, and maintaining productive partnerships with insurance payers.

What is a payer strategy manager?

A Payer Strategy Manager is a professional in the healthcare industry responsible for developing and implementing strategies related to health insurance payers, such as insurance companies, government programs, and managed care organizations. Their role involves analyzing market trends, negotiating contracts, and ensuring that products and services align with payer requirements to optimize reimbursement. They often collaborate with sales, marketing, and product teams to support business growth and maintain strong payer relationships. Payer Strategy Managers play a key role in shaping how healthcare organizations interact with payers to maximize access and profitability.

What are the primary challenges a payer strategy manager faces when aligning internal teams with payer requirements?

A Payer Strategy Manager often navigates the complex task of bridging internal cross-functional teams, such as sales, medical, and market access, with the evolving requirements of payers. This requires not only an in-depth understanding of payer policies and reimbursement landscapes but also strong communication skills to translate these requirements into actionable strategies. One common challenge is ensuring that all stakeholders remain informed and agile as payer expectations shift, which means the role demands adaptability and proactive coordination. Success often relies on building collaborative relationships and maintaining open channels of communication across departments.
What are the most commonly searched types of Payer Strategy jobs in Florida? The most popular types of Payer Strategy jobs in Florida are:
What are popular job titles related to Payer Strategy Manager jobs in Florida? For Payer Strategy Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Payer Strategy Manager jobs in Florida look for? The top searched job categories for Payer Strategy Manager jobs in Florida are:
What cities in Florida are hiring for Payer Strategy Manager jobs? Cities in Florida with the most Payer Strategy Manager job openings:
Payer Strategy Manager jobs near you
Infographic showing various Payer Strategy Manager job openings in Florida as of June 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

Revenue Integrity Analyst - USFTGP UMSA RCO Back End

USF Health

Tampa, FL • On-site

Full-time

Posted 13 days ago

USF Health rating

6.5

Company rating: 6.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

The Revenue Integrity Analyst plays a vital role in supporting and enhancing financial performance across the Professional Billing (PB) revenue cycle. This role focuses on ensuring accurate and compliant charge capture, payment processing, and denial management through data analysis, collaboration, and system optimization. Works closely with registration teams, coding, account follow-up, authorization and compliance to identify revenue risks, improve workflows, and strengthen reimbursement outcomes.Serves as a subject matter expert in revenue integrity, providing advanced analysis, payer escalation support, and leadership for complex revenue cycle issues. Leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts and initiatives that ensure accurate billing, regulatory coding compliance, and optimized net revenue performance.
Required:
High School Diploma or GED
Certification
Certified Coding Specialist Physician -CCS-P
Certified Professional Coder - CPC
Certified Medical Auditor - CPMA
Registered Health Information Technician - RHIT
Work Experience and Additional Information
Five (5) years of progressive experience in revenue cycle, coding and billing compliance, healthcare reimbursement, or financial analysis and one (1) of the certifications listed.
A Bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or related field may be substituted for required experience and certification.

What USF Health employees say

Pay

Hours and flexibility

Workplace

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