1

Payments Risk Analyst Jobs in Iowa (NOW HIRING)

Disability Representative Sr

Dubuque, IA · On-site

$35K - $40K/yr

Determines benefits due pursuant to a disability plan, makes timely claims payments/approvals and ... Analytical, interpretive, and critical thinking skills * Ability to manage ambiguity * Strong ...

Internal Auditor II

Des Moines, IA · On-site

$66K - $78K/yr

Activities include incorporating risk and internal control assessments, along with data analytics ... loan payments, gym memberships, pet insurance and much more. * Team Member Banking - a suite of ...

Finance Tutor

Iowa City, IA · Remote

$18 - $40/hr

... payments. What We Look For In a Finance Tutor * Advanced Subject Mastery: Deep knowledge of time value of money, financial statement analysis, capital budgeting, risk and return, portfolio theory ...

The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... This role works closely with the Legal, Risk Management, Operations, and project teams to manage ...

Finance Tutor

Ames, IA · Remote

$18 - $40/hr

... payments. What We Look For In a Finance Tutor * Advanced Subject Mastery: Deep knowledge of time value of money, financial statement analysis, capital budgeting, risk and return, portfolio theory ...

The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... This role works closely with the Legal, Risk Management, Operations, and project teams to manage ...

The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... This role works closely with the Legal, Risk Management, Operations, and project teams to manage ...

The Weitz Company is hiring a Claims Manager I to support the administration, analysis ... This role works closely with the Legal, Risk Management, Operations, and project teams to manage ...

Showing results 41-60

Payments Risk Analyst information

What skills and qualifications are needed to be a payments risk analyst?

To thrive as a Payments Risk Analyst, you need strong analytical skills, knowledge of financial regulations, and experience in risk assessment, typically supported by a degree in finance, economics, or a related field. Familiarity with transaction monitoring systems, data analysis tools like SQL or Excel, and certifications such as CAMS or CFE are commonly required. Attention to detail, critical thinking, and effective communication are vital soft skills to excel in this role. These competencies are crucial for identifying and mitigating payment fraud, ensuring regulatory compliance, and maintaining the integrity of financial operations.

What challenges do payments risk analysts face in monitoring and mitigating transaction fraud?

Payments Risk Analysts often encounter the challenge of quickly identifying and responding to evolving fraud patterns while maintaining a seamless customer experience. The role requires balancing proactive risk detection with minimizing false positives, which can inadvertently affect legitimate transactions. Analysts must collaborate closely with data scientists, compliance teams, and customer service to continuously refine fraud detection models and stay updated on emerging threats. Staying adaptable and leveraging advanced analytics tools are key to success in this fast-paced environment.

What is a payments risk analyst?

Payments Risk Analysts are professionals responsible for identifying, assessing, and mitigating risks associated with payment processing systems and transactions. They analyze transaction data to detect fraudulent activities, ensure compliance with regulations, and develop strategies to minimize financial losses for organizations. Their work often involves using advanced analytics and risk management tools to monitor trends, investigate suspicious activities, and recommend improvements to payment processes.
What are popular job titles related to Payments Risk Analyst jobs in Iowa? For Payments Risk Analyst jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Payments Risk Analyst jobs in Iowa look for? The top searched job categories for Payments Risk Analyst jobs in Iowa are:
What cities in Iowa are hiring for Payments Risk Analyst jobs? Cities in Iowa with the most Payments Risk Analyst job openings:
Infographic showing various Payments Risk Analyst job openings in Iowa as of August 2026, with employment types broken down into 76% Full Time, 10% Part Time, and 14% Contract. Highlights an 80% In-person, 14% Hybrid, and 6% Remote job distribution.

Full-time

This job post has expired today. Applications are no longer accepted.


University Of Iowa Health Care rating

7.4

Company rating: 7.4 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

268th of 887 rated healthcare providers


Job description

Description
The Director of Payor Relations directs and leads the Payor Relations and Managed Care Contracting efforts on behalf of UI Health Care, including University of Iowa Health Care Medical Center, University of Iowa Health Care Medical Center Downtown, Carver College of Medicine UI Physicians, UI College of Dentistry Dental Service Plan, UI Diagnostic Labs and other divisions of the University of Iowa Health Care. This executive role steers overarching payor strategies, drives complex contract negotiations, manages specialized regional/federal agreements, and serves as the senior point of escalation for operational payor friction, systematic underpayments, and net collection yield optimization.
Position Responsibilities:
Payor Relationship Management
  • Develops and maintains strong, collaborative relationships with commercial, government, and managed care payors. Serves as the primary point of contact for payor negotiations, escalations, and ongoing relationship management.
  • Represents the organization in payor meetings, joint operating committees, and strategic discussions.
  • Serves as the primary executive contact for payor counterparts, establishing and leading Joint Operating Committees (JOCs) and corporate performance reviews.
  • Defines, develops, and directs the implementation strategies for all payor relationships.
  • Directs and executes medical service agreements with the VA Medical Center, ensuring all contracts are consistently reviewed for appropriate pricing within federal rules and conditions. Partners closely with University of Iowa Physicians (UIP) leadership to ensure the MSAs align seamlessly with the clinical and educational goals of the faculty practice plan.

Managed Care Contracting Leadership
  • Leads payor contract strategy, including negotiation, implementation, amendment, and renewal of payor agreements. Collaborates with legal, finance, compliance, and clinical leadership to ensure contracts align with organizational objectives and regulatory requirements.
  • Analyzes contract terms to optimize reimbursement, mitigate risk, and support value-based payment models.
  • Monitors and interprets market intelligence, directing and evaluating proposal analyses.
  • Leads the entire negotiation process, representing the organization to the contracting party, managing internal communication, and making recommendations to senior leadership.
  • Directs the development, assessment, implementation, and maintenance of contract language, working closely with legal counsel to establish firm institutional guardrails and templates
  • Negotiates and implements new contracts and renegotiates and maintains existing contracts to ensure that optimal contribution to margin is achieved

Contract Performance Monitoring
  • Monitors existing contracts to determine financial and administrative performance.

Internal Contract Consultation
  • Provides consultation and support to clinical and administrative departments for contractual and relationship issues.
  • Works closely with executive leadership, clinical leaders, and operational partners to educate on payor contracts and align payor strategies with care delivery and growth initiatives.

Contracting and Reimbursement Strategy
  • Formulates innovative reimbursement methodologies across the enterprise, including traditional fee-for-service arrangements (DRG, APC, case rates) and specialized models.
  • Directs the design and integration of value-based contracting strategies, focusing explicitly on effectively layering value-based performance incentives, shared savings, and quality metrics directly on top of established fee-for-service frameworks.
  • Prepares reports, analyses, and recommendations for senior leadership.
  • Directs contracting for complex transplant programs, overseeing global rate package modeling.

Reimbursement Methodology Development
  • Determines the optimal reimbursement methodology for contracts for facility and physicians.
  • Tracks and analyzes industry trends, payor policy updates, and state/federal governmental reimbursement changes; forecasts the long-term operational and financial impact on the enterprise portfolio and directly applies these insights to optimize contract terms, mitigate regulatory risk, and secure favorable reimbursement structures.

Financial Analysis and Planning
  • Monitors existing payor portfolios to continuously determine financial, administrative, and clinical volume performance.
  • Directs the financial analysis of contract performance, oversees the contract management software infrastructure, and produces periodic reports for executive leadership

Revenue Optimization
  • Serves as the primary institutional escalation point to actively resolve chronic, patterned payor issues, including systematic denials, slow payments, medical necessity disputes, and contract compliance failures.
  • Identifies, tracks, and addresses root-cause operational inefficiencies that result in poor payment yield or administrative underpayments.
  • Collaborates with Patient Financial Services, Health Information Management (HIM), Utilization Management, and Revenue Integrity to translate contract terms into actionable front- and back-end rules, validating that contract terms load accurately into the health system's billing and decision-support systems.
  • Utilizes historical denial and payor behavior trends to establish strategic leverage for subsequent contract renegotiations.

Leadership and Training
  • Establishes and maintains standards of collaborative interaction among peers and employees that is characterized by respect, honesty and service; assures that all unit members are held to similar standards and ethics; constructively manages conflict.
  • Manages the talents, strengths and behaviors of each individual in a work group, while providing each employee with the opportunity to contribute to the goals of the unit.
  • Inspires and motivates others to high performance by exercising strong stewardship of University resources, setting expectations, measuring success through individual performance evaluations, and driving organizational results.
  • Mentors staff
  • Assists the Assistant Vice President/ CFO, UI Health Care on major projects.

Qualifications
Required:
  • Master's degree in Accounting, Finance, Business Administration, Healthcare Administration, or an equivalent combination of education and experience.
  • 7 years of progressive experience in health care payor relations management or managed care contracting is required.
  • Excellent written and verbal communication skills are required.
  • Proficiency in computer software applications
  • Ability to solve problems in a professional manner
  • Demonstrated experience working effectively in a welcoming and respectful workplace environment

Desired:
  • Ability to manage and mentor a team.
  • Prove ability to reallocate resources as needed to meet goals and objectives
  • Ability to work in a team environment
  • Strong customer service orientation.
  • Ability to work independently and take initiative.
  • Ability to lead change processes within a changing environment.
  • Knowledge of UI and UI Health Care policies and procedures.

Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
  • Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu .

This position is not eligible for University sponsorship for employment authorization now or in the future.
This position is eligible for hybrid work within Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location .

What University Of Iowa Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom