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Payer Strategy Manager Jobs in Iowa (NOW HIRING)

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 ...

Doist

Intake Director

Ankeny, IA · On-site

$95 - $120/hr

The Intake Director provides strategic leadership and oversight of all intake operations supporting ... The Intake Director collaborates closely with referral sources, payers, care managers, providers ...

Cottingham & Butler

Service Supervisor

Dubuque, IA · On-site

Manage daily workflow and projects related to PPO and Provider Maintenance Experience: * Medical ... 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.
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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

Director of Patient Financial Services

Cass Health

Atlantic, IA • On-site

Full-time

Re-posted 14 days ago

Job description

The Director of Patient Financial Services provides operational leadership for key revenue cycle functions, including billing, claims processing, payer follow-up, accounts receivable (AR), payment posting, self-pay management, and collections strategy, as well as patient financial services.
This role ensures that services are converted into accurate, timely reimbursement while maintaining compliance with payer and regulatory requirements and delivering a clear, compassionate financial experience for patients.
Key Responsibilities
  • Provide leadership and oversight for billing, claims follow-up, AR management, payment posting, patient accounts, and financial counseling teams
  • Monitor and improve key performance indicators, including AR days, denial rates, clean claim rates, cash collections, and self-pay collection performance
  • Ensure timely, accurate claim submission and efficient resolution of edits, rejections, and denials
  • Oversee payer follow-up activities and escalate systemic reimbursement issues
  • Partner with Revenue Integrity to reduce denials and improve first-pass yield
  • Ensure accurate payment posting, contractual adjustments, and reconciliation processes
  • Collaborate with Finance and Accounting on cash reconciliation, month-end close, and audit readiness
  • Oversee patient balances, including statements, payment plans, financial assistance, refunds, and in-house early-out and bad debt collection processes
  • Lead and optimize self-pay AR and collections performance, including patient responsibility workflows, payment strategies, and staff performance
  • Establish and monitor performance metrics related to self-pay collections, aging, and recovery rates, identifying opportunities for improvement
  • Ensure a balanced approach to collections that supports both financial stewardship and a positive patient financial experience
  • Develop and optimize strategies for self-pay AR, patient responsibility, and collection agency/vendor performance
  • Ensure compliance with regulatory requirements, including financial assistance policies and the No Surprises Act
  • Support a patient-centered financial experience through clear communication and compassionate service
  • Partner with Patient Access and Revenue Integrity to reduce front-end and mid-cycle errors impacting reimbursement
  • Utilize data and reporting to identify trends, improve workflows, and drive operational performance

Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Finance, or related field required; relevant experience may be considered in lieu of formal education
  • Demonstrated leadership experience, with the ability to manage teams, oversee complex workflows, and drive measurable performance improvement
  • Experience in healthcare revenue cycle operations (billing, claims management, accounts receivable, or related functions) preferred; candidates with strong leadership and operational experience in other industries will also be considered
  • Experience in a Critical Access Hospital (CAH) and/or Rural Health Clinic (RHC) setting preferred, including familiarity with applicable reimbursement methodologies and regulatory requirements
  • Certified Revenue Cycle Representative (CRCR) required within one year of employment
  • Understanding of revenue cycle concepts, financial operations, or reimbursement processes.
  • Working knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding systems preferred
  • Strong analytical, communication, and problem-solving skills
  • High level of professionalism, integrity, and attention to detail

Why Join Cass Health
Cass Health offers a unique opportunity to lead within a well-structured, highly supported revenue cycle environment-something not commonly found in organizations of our size.
Our revenue cycle is intentionally designed with dedicated leadership across front-end, mid-cycle, and back-end functions, allowing this role to focus on what matters most: driving performance, strengthening processes, and leading a high-performing team. You will partner closely with experienced leaders in Patient Access and Revenue Integrity, supported by dedicated Revenue Cycle Systems and Operations Analysts who provide data, system optimization, and hands-on operational support.
This role also benefits from strong executive engagement and support. The CFO is actively involved in revenue cycle strategy, performance improvement, and payer dynamics, providing clear direction, removing barriers, and ensuring the resources needed to succeed. Revenue cycle is a visible and prioritized function at Cass Health, with alignment across leadership and the organization.
Cass Health is a thriving rural health system in southwest Iowa, proudly serving approximately 40,000 unique patients each year. With annual gross revenue of approximately $145 million, nearly 500 team members, and more than 80 providers, we are the largest employer in Cass County and one of the largest Critical Access Hospitals in Iowa.
We support more than 150,000 outpatient encounters annually across our hospital and four rural health clinics, along with a robust inpatient program. Our services span primary care and a wide range of specialties, including surgery, OB/GYN, orthopedics, cardiology, oncology, and more, supported by strong diagnostic and rehabilitation services.
Cass Health has been recognized as a Top 20 Critical Access Hospital by the National Rural Health Association since 2021 and has ranked among the Top 100 Critical Access Hospitals every year since 2017. We were also honored with the HFMA MAP Award for High Performance in Revenue Cycle, reflecting our commitment to strong financial operations.
Beyond operations, we are deeply committed to innovation and workforce development, including launching Iowa's first registered nursing apprenticeship program to build a sustainable pipeline of healthcare professionals.
This is an opportunity to step into a role where the foundation is strong, leadership is engaged, and there is real opportunity to refine, optimize, and elevate performance across the revenue cycle.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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