Iowa Collaborating Physician Jobs – Connect with Clinics Hiring Physicians
Iowa’s 2023 PA independence law removed mandatory supervision for experienced PAs — but every PA who has not yet logged 2 years of supervised practice still requires a collaborating physician. That creates a steady, well-defined pipeline of new and early-career PAs across Des Moines, Cedar Rapids, and Iowa’s rural healthcare corridor who need your support.
Iowa’s 2023 PA Law Created a Clear, Defined Physician Supervision Opportunity
Iowa’s House File 424, signed into law May 2023, made Iowa the sixth state to remove mandatory physician supervision for PAs — but it did so with a crucial carve-out. Under Iowa Code § 148C.3, PAs who have NOT previously practiced under a supervising physician or in collaboration with a physician for at least 2 years must be supervised by a physician during their first 2 years of independent practice in Iowa.
This means every newly licensed Iowa PA, every PA new to independent practice, and every PA coming to Iowa without 2 years of prior supervised experience needs a collaborating physician for a defined 2-year window. Given Iowa’s growing PA workforce — over 1,300 licensed PAs, with more than half in rural areas — that creates a consistent, well-structured stream of physician supervision needs.
Iowa also allows PAs to independently own and operate their own practices — meaning many new PA-owned clinics (medspas, weight loss centers, telehealth, wellness) in the Des Moines, Cedar Rapids, and Quad Cities markets are actively seeking supervising physicians for their early-career PA providers.
Iowa State Requirements
PAs who have not previously practiced under a supervising physician or in collaboration with a physician for at least 2 years must be supervised by a physician during their first 2 years of independent practice. Iowa Code § 148C.3
A supervisory agreement is required during this 2-year period, addressing: the medical services delegated, assessment of the PA’s education and training, scope of practice, and feedback methods. Iowa Admin. Code 653—21
PAs with 2+ years of prior supervised experience may practice independently without a required physician relationship under HF 424. Experienced PAs who choose to seek physician collaboration for QA or payer reasons may still do so voluntarily.
Iowa defines “independent practice” as a PA-organized professional corporation or PLLC. Iowa allows PAs to independently own practices — creating a growing market of PA-owned clinics across the state. Iowa Code § 148C.1(5)
Remote supervision is permitted. No physical presence requirement. The supervising physician must notify all PA supervisees within one workday of any disciplinary action or change in status affecting their eligibility to supervise. Iowa Admin. Code 653—21.7
Iowa’s Two PA Categories — Who Needs a Physician and Who Doesn’t
Iowa’s 2023 law created a clear two-track system. We match you specifically with PAs in the track that requires physician support.
New & Early-Career PAs (Under 2 Years)
PAs who have not previously practiced under a supervising physician or under a physician for at least 2 cumulative years require physician supervision during their first 2 years of independent practice in Iowa.
• Written supervisory agreement required
• Agreement must address scope, delegated services, and feedback
• Remote supervision fully permitted
• Applies to: new graduates, PAs new to independent practice, PAs without 2+ years prior supervised experience
• This is the physician collaboration opportunity in Iowa
Experienced PAs (2+ Years Prior Supervision)
PAs who have accumulated at least 2 years of practice under a supervising physician may practice independently in Iowa without a required physician relationship under HF 424.
• No mandatory physician oversight required
• May voluntarily choose physician advisory support for QA, payer credentialing, or clinical support
• Can own their own practice independently
• Applies to: PAs with documented 2+ years of prior supervised practice
We match you exclusively with PAs in the first tier — those who require physician supervision under Iowa Code § 148C.3 — so your role is always clear, legally grounded, and appropriately compensated.
What a Supervising Physician Does in Iowa
During the PA’s 2-year supervision period, your role is defined by the supervisory agreement — and Iowa law permits all supervision to occur remotely.
Sign the Supervisory Agreement
Execute a written supervisory agreement covering the PA’s scope of practice, medical services delegated, assessment of education and training, and the feedback methodology during the 2-year supervision period.
Assess Education & Training
Assess the PA’s education, training, skills, and relevant experience prior to providing supervision. Ensure both parties have the appropriate background for the care being delivered.
Provide Feedback
Use the feedback methodology defined in the supervisory agreement to evaluate the PA’s performance during the 2-year supervision period. This ensures the PA develops effectively and meets community standards of care.
Be Available for Consultation
Be reachable for consultation, collaboration, and referral as appropriate. Iowa law permits remote supervision — no physical presence at the PA’s practice site is required.
Timely Status Notifications
Notify all PA supervisees within one workday of receiving any disciplinary action or change in status that affects your eligibility to supervise — as required by Iowa Admin. Code 653—21.7.
Earn Income Per Supervision
Receive income for each new PA you supervise. Iowa’s growing PA workforce — especially in rural areas and PA-owned clinics — creates a steady pipeline of new PAs entering their 2-year supervision window.
Get Started in 3 Simple Steps
Many physicians in our network are matched and onboarded within 24 to 48 hours.
Apply
Submit your basic information and credentials. It takes less than 2 minutes and there is no obligation to proceed.
Get Matched
We connect you with Iowa PA practices — including PA-owned clinics — that need a supervising physician for early-career PAs in their 2-year supervision window.
Start Supervising
Begin your role with full support, a compliant Iowa supervisory agreement, and clear expectations — all structured and ready to sign.
A Smarter Way to Work as an Iowa Supervising Physician
Iowa’s post-HF424 framework is nuanced — the physician opportunity depends on correctly identifying which PAs are in their 2-year window. We handle that matching and structuring for you.
We connect you with the right PAs
We match you specifically with Iowa PAs who require physician supervision under § 148C.3 — not experienced PAs who don’t need you.
Start within 24–48 hours
Many Iowa physicians in our network are matched and onboarded within 24 to 48 hours of applying.
Iowa Code § 148C-compliant agreements
Our supervisory agreements meet Iowa Board of Medicine and Board of Physician Assistants requirements under the post-HF424 framework.
PA-owned clinic opportunities
Iowa’s PA ownership law creates growing independent PA-owned clinics across Des Moines, Cedar Rapids, and beyond that need supervising physicians for their new PAs.
Steady new-PA pipeline
Iowa’s large and growing PA workforce — with over 1,300 licensed PAs — creates a consistent stream of new practitioners entering their 2-year supervision window.
Remote, minimal time
Iowa permits fully remote supervision. No physical presence requirement. Designed for physicians who want additional income without additional stress.
Iowa Clinic Types We Work With
PA-staffed and PA-owned clinics across Iowa — from Des Moines and Cedar Rapids to rural healthcare communities — need supervising physicians for new PAs in their 2-year window.
This Opportunity Is Ideal For
Physicians with an active Iowa medical license in good standing
Physicians comfortable with remote supervision and structured feedback
Those looking to create additional income from a defined 2-year supervision window
Physicians who value a clear, statutory framework with defined start and end points
Your Iowa medical license must be active and in good standing with the Iowa Board of Medicine. You must notify all PA supervisees within one workday of any disciplinary action or status change affecting your supervision eligibility, as required by Iowa Admin. Code 653—21.7.
Iowa Collaborating Physician Jobs — Remote, Part Time PA Supervision Across Des Moines, Cedar Rapids, and the Hawkeye State
Iowa’s NPs practice with full independence, which means the physician income opportunity here is entirely in the PA supervision market — every Iowa PA under the 2-year threshold needs a supervising physician, with no ratio cap limiting how many PAs you can work with simultaneously. Iowa’s remote-eligible framework, no proximity requirement, and no board pre-filing requirement make it one of the most streamlined markets for remote physician jobs and part time physician jobs in the Midwest. Whether you are looking for your first physician side job or building a scalable PA supervision portfolio, Iowa’s focused, well-defined market for collaborating physician jobs is accessible and consistently in demand across Des Moines, Cedar Rapids, Iowa City, and Sioux City.
Remote Physician Jobs — No Proximity, No On-Site Requirement
Iowa’s PA supervisory agreement framework imposes no geographic proximity requirement and no on-site visit mandate. The physician must be available for consultation when needed — fully satisfied by phone or electronic means. For physicians seeking remote physician jobs that generate consistent monthly income without scheduled in-person obligations, Iowa PA supervision is one of the most genuinely remote physician job structures in the Midwest.
Part Time Physician Jobs — No Ratio Cap, Scalable Portfolio
Iowa imposes no cap on the number of PAs a physician may supervise simultaneously. A physician can hold as many concurrent Iowa supervisory agreements as their clinical capacity allows — building a portfolio of part time physician jobs with a 2-year stable duration per PA. When a PA completes their threshold and transitions to independence, a new early-career PA entering the market takes their place.
Physician Consulting Jobs — Des Moines and Iowa City Markets
Des Moines’s East Village and Jordan Creek corridors and Iowa City’s university healthcare district generate consistent demand for physician consulting jobs beyond standard PA supervision. PA-operated medspas, GLP-1 weight loss practices, and telehealth platforms across Iowa seek physician consulting jobs for protocol development, payer credentialing, and QA oversight — typically structured as retainer arrangements alongside supervisory agreement income.
A Genuine Physician Side Job — Defined Obligations, Manageable Time
Iowa supervisory agreements are physician side jobs by structure. The agreement defines the PA’s scope, the supervision method, and oversight provisions. Patient care, scheduling, and clinical operations belong to the PA. Most Iowa physicians hold these arrangements as physician side jobs generating steady monthly income with a predictable, low-overhead time commitment alongside their primary practice.
CollaboratingPhysician.com maintains an active pipeline of collaborating physician jobs across Iowa and matches physicians with PA practices within 24 to 48 hours. Whether you are looking for remote physician jobs in Des Moines or Cedar Rapids, part time physician jobs across the Iowa City corridor, or remote physician advisor jobs with Iowa-based telehealth platforms, we structure supervisory agreements to meet Iowa Code § 148C.3 requirements and manage every arrangement throughout.
Frequently Asked Questions — Iowa
Start Building Additional Income as an Iowa Supervising Physician
Iowa’s new and early-career PAs — and the PA-owned clinics they’re building — need a supervising physician for their first 2 years. We connect you with them and handle supervisory agreements, scope documents, and ongoing support.
Apply Now — Takes Less Than 2 MinutesOr call us at +1 (817) 857-2726 to get started today.
Serving physicians and clinics across Iowa, including Des Moines, Cedar Rapids, Davenport, Sioux City, Iowa City, Waterloo, Council Bluffs, Dubuque, Ames, West Des Moines, Ankeny, Marion, Urbandale, Cedar Falls, Bettendorf, Mason City, Clinton, Marshalltown, Burlington, Fort Dodge, and surrounding areas.
Collaborating Physician Intake Form
Complete the form below to explore collaborating physician jobs with Collaborating Physician. Our team will review your information and connect you with qualified healthcare professionals in need of oversight. Start earning residual income in a flexible role—submit your details today to discover your next collaborating physician job opportunity!