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Payer Strategy Manager Jobs in Iowa (NOW HIRING)

Mom's Meals

Intake Director

Ankeny, IA · On-site

The Intake Director collaborates closely with referral sources, payers, care managers, providers ... Participate in strategic planning and growth initiatives * Collaborate with payer partners to ...

Mom's Meals

Intake Director

Ankeny, IA · On-site

The Intake Director collaborates closely with referral sources, payers, care managers, providers ... Participate in strategic planning and growth initiatives * Collaborate with payer partners to ...

Mom's Meals

Intake Director

Ankeny, IA

The Intake Director collaborates closely with referral sources, payers, care managers, providers ... Participate in strategic planning and growth initiatives * Collaborate with payer partners to ...

Mom's Meals

Intake Director

Ankeny, IA · On-site

$95 - $125/hr

The Intake Director collaborates closely with referral sources, payers, care managers, providers ... Participate in strategic planning and growth initiatives * Collaborate with payer partners to ...

University of Iowa

Manager, Audits and Appeals

Iowa City, IA · On-site +1

$98K - $131K/yr

The Manager of Revenue Integrity - Audits and Appeals leads the operational, strategic, and ... Lead and oversee all audit and appeal operations, including external payer audits, internal audits ...

Inizio

Hybrid Access Manager

Des Moines, IA · On-site

$91K - $169K/yr

The ARM maintains a strong understanding of the payer landscape and may conduct in-person HCP ... About Inizio Engage Inizio Engage is a strategic, commercial, and creative engagement partner that ...

Community NeuroRehab

CASE MANAGER

Madrid, IA · On-site

$19.50 - $25/hr

... strategic activities. This role is an Exempt position with competitive salary and benefits . It ... and payer sources. - Educating insurance and medical professionals. - Conduct evaluations of ...

SISCO

Account Manager

Dubuque, IA · On-site

For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry ... Our strategy is to simply administer employer plans with the same care, diligence, and expertise we ...

SISCO

Account Manager

Dubuque, IA · On-site

For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry ... Our strategy is to simply administer employer plans with the same care, diligence, and expertise we ...

Cottingham & Butler

Account Manager - SISCO

Dubuque, IA · On-site

For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry ... Our strategy is to simply administer employer plans with the same care, diligence, and expertise we ...

Cottingham & Butler

Account Manager - SISCO

Dubuque, IA · On-site

For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry ... Our strategy is to simply administer employer plans with the same care, diligence, and expertise we ...

Cottingham & Butler

Account Manager - SISCO

Dubuque, IA · On-site

For the past decade, many Health Insurance Carriers and Payers have been quietly driving industry ... Our strategy is to simply administer employer plans with the same care, diligence, and expertise we ...

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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 popular job titles related to Payer Strategy Manager jobs in Iowa? For Payer Strategy Manager jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Payer Strategy Manager jobs in Iowa look for? The top searched job categories for Payer Strategy Manager jobs in Iowa are:
What cities in Iowa are hiring for Payer Strategy Manager jobs? Cities in Iowa with the most Payer Strategy Manager job openings:
Payer Strategy Manager jobs near you

Manager of Insurance Services

Medical Associates

Dubuque, IA • On-site

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 19 days ago

Job description

Description
Medical Associates Clinic is hiring an Insurance Services Manager to join their leadership team! This is a full-time position requiring a high-level of flexibility, independent thinking and the ability to work autonomously.
The Position:
This position leads Insurance Services operations to secure timely, accurate, and compliant reimbursement from commercial, government, and managed care payers. Oversees claim follow-up, denial prevention and resolution, prior authorization support, underpayment review, payer escalation, reimbursement monitoring, and payer relations. Uses data, process improvement, and cross-functional collaboration to reduce claim delays, improve cash flow, support compliance, and advance revenue cycle objectives.
Schedule:
Core business hours for this position are Monday - Friday, between the hours of 7:30am and 5:00pm with flexibility to attend meetings outside core business hours on occasion.
Benefits Package Includes:
  • Single or Family Health Insurance with discounted premium rates for wellness program participation.
  • 401k with immediate matching (50% on the dollar up to 7% of pay + additional annual Profit Sharing
  • Flexible Paid Time Off Program (29 days off/year)
  • Medical and Dependent Care Flex Spending Accounts
  • Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.

Essential Functions and Responsibilities:
  • Lead and develop Insurance Services staff, including recruitment, onboarding, training, coaching, performance evaluation, engagement, and professional development. Set and monitor productivity, quality, accuracy, timeliness, and service expectations. Address performance issues, support succession planning, and promote accountability, continuous improvement, and service excellence.
  • Oversee insurance follow-up, denial resolution, appeals, underpayment recovery, and reimbursement issue resolution. Analyze denial and aging trends, identify root causes, and implement corrective action with providers, clinical leadership, coding, registration, billing, and other revenue cycle teams to improve first-pass accuracy and reimbursement outcomes.
  • Track, analyze, and report key revenue cycle indicators, including insurance A/R, denial trends, appeal outcomes, payer turnaround, underpayment trends, productivity, quality, clean-claim performance, and reimbursement results. Prepare leadership reports and recommend workflow, staffing, training, or payer escalation strategies.
  • Serve as the primary operational contact for insurance carriers, managed care organizations, and governmental payers. Coordinate payer issue resolution, reimbursement analysis, contract-related payment concerns, policy clarification, and escalation discussions. Monitor payer policy changes and communicate operational impacts to affected departments.
  • Manage payer- and insurance-related correspondence, escalated patient complaints, operational reports, and required records. Ensure issues are resolved timely and documented appropriately.
  • Perform administrative duties, including budget input, meeting participation, staff/resource planning, data compilation, and operational reporting.
  • Maintain departmental policies, procedures, workflows, and internal controls to support payer, Medicare, Medicaid, HIPAA, and other applicable requirements. Coordinate staff education, corrective action, and process updates when compliance concerns or audit findings are identified.
  • Complete all other assigned projects and duties.

Knowledge & Skills:
Experience Three years to five years of similar or related experience.
Education Equivalent to a two-year college degree or completion of a specialized course of study or certification at a business or trade school. Bachelor's degree is strongly preferred.
Interpersonal Skills A significant level of trust and diplomacy is required, in addition to normal courtesy and tact. Work involves extensive personal contact with others and/or is usually of a personal or sensitive nature. Work may involve motivating or influencing others. Outside contacts become important and fostering sound relationships with other entities (companies and/or individuals) becomes necessary.
Physical Aspects:
Reaching - Extending hand(s) and arm(s) in any direction.
Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles.
Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling.
Grasping - Applying pressure to an object with the fingers and palm.
Feeling - Perceiving attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly.
Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts.
Vision - 20 / 40 or better in the best eye with or without correction.
Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers.
Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status.Please view Equal Employment Opportunity Posters provided by OFCCP https://www.eeoc.gov/poster

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