Sr. Specialist, Payor Relations

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.

     

JOB DESCRIPTION:

Job Title

Sr. Specialist, Payor Relations

 

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.

• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.

• An excellent retirement savings plan with a high employer contribution.

• Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.

• A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.

• A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works out of our Livermore, CA location in the Abbott Heart Failure, Acelis Connected Health business. Our Heart Failure solutions are helping address some of the World’s greatest healthcare challenges.

Acelis Connected Health’s DME & IDTF businesses operate across all states in the US with several hundred payor plans to serve it’s 80,000+ patients on service. This Sr. Specialist, Payor Relations will be critical to drive the ongoing activities required to serving and expand access to patients. These activities include supporting the development, implementation, and monitoring of processes related to commercial payor contracting. These processes span end-to-end contracting across all lines of business at Acelis Connected Health.

What You’ll Work On

This role acts as the liaison between Acelis and its commercial payors, ensuring the contract is supported and the relationship remains healthy and productive. This includes the following:

• Reviews updated correspondences, provider manuals, and provider policies

• Performs fee schedule updates and termination requests

• Manages credentialing requests, including initial & ongoing credentialing

• Facilitates quarterly payor meetings for high volume payors

• Develops, maintains, and presents to leadership the KPIs/metrics related to areas of responsibility

• Represents the payor relations function as a core team member on cross-functional projects

Required Qualifications

• Bachelor’s Degree in a business discipline

• 4+ years relevant experience in payor contracting at a healthcare provider, payor, or network

• Demonstrated ability to develop, improve, and monitor commercial contracting processes

• Ability to work independently and managing competing priorities routinely.

Preferred Qualifications

• Master’s Degree in related field

• 3+ years experience in payor contracting within the DME/IDTF provider space

• 3+ years experience working directly with CMS (Medicare/Medicaid) and The Joint Commission

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.

     

The base pay for this position is

$90,000.00 – $180,000.00

In specific locations, the pay range may vary from the range posted.

     

JOB FAMILY:

Pricing

     

DIVISION:

HF Heart Failure

        

LOCATION:

United States > Livermore : 6465 National Drive

     

ADDITIONAL LOCATIONS:

     

WORK SHIFT:

Standard

     

TRAVEL:

Not specified

     

MEDICAL SURVEILLANCE:

Not Applicable

     

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day)

     

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.

     

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf

     

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf