Managed Care Contracting Specialist, Acelis Connected Health

Abbott

United StatesRemote onlyFull time
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Pay
$83.3K to $166.6K
a year
Location
United States
Work style
Remote only
Job type
Full time
Posted
Oct 29
2 days ago
Career path

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About the company

Abbott

Apparel & fashion · 2 to 10 employees

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 122,000 colleagues serve people in more than 160 countries.

Abbott on LinkedIn

What you'll do

  • Review, analyze, and renegotiate DME and IDTF contracts
  • Ensure agreements comply with federal, state, and payer regulations
  • Identify opportunities for cost savings and improved service delivery
  • Draft, review, and execute LOAs for special arrangements or exceptions
  • Resolve billing and payment issues with non-contracted providers
  • Monitor contract performance, reimbursement trends, and regulatory changes
  • Provide reporting and strategic insights to leadership

What you need

  • Associate degree or equivalent, or 3+ years of relevant experience
  • Strong understanding of payer contracting, reimbursement methodologies, and healthcare regulations
  • Excellent negotiation, communication, and relationship-building skills
  • Proficiency in CRM and contract management systems
  • Ability to attend job-related courses and seminars as required
  • Ability to use office equipment relevant to job functions
  • Experience with Medicare Advantage, Medicaid MCOs, and commercial payers to obtain LOAs (preferred)
  • Familiarity with HCPCS coding and billing practices for DME and diagnostic services (preferred)

Key skills

Payer contractingReimbursement methodologiesHealthcare regulationsNegotiationCommunicationRelationship-buildingCRMContract management systemsHCPCS codingBilling practicesClinical documentation

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Perks

  • Career development
  • Free medical coverage
  • Retirement savings plan
  • Tuition reimbursement
  • Student debt program
  • Education benefit

See full description on company page, apply now

Read the full posting here
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 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Managed Care Contracting Specialist, Acelis Connected Health 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 Acelis Connected Health – Heart Failure (HF) In Abbott’s Heart Failure (HF) business, we’re developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives. The Managed Care Contracting Specialist, Acelis Connected Health is responsible for managing and renegotiating contracts for Durable Medical Equipment (DME) suppliers and Independent Diagnostic Testing Facilities (IDTF). This role ensures compliance with regulatory requirements, optimizes contractual terms, maintains provider relationships, and oversees the creation and administration of Letters of Agreement (LOAs) that support operational and financial objectives. What You'll Work On Review, analyze, and renegotiate DME and IDTF contracts to align with organizational goals and market standards. Ensure all agreements comply with federal, state, and payer regulations. Identify opportunities for cost savings and improved service delivery through contract optimization. Draft, review, and execute LOAs for special arrangements or exceptions, including resolving billing and payment issues with non-contracted providers. Monitor contract performance, reimbursement trends, regulatory changes, and provide reporting and strategic insights to leadership. Required Qualifications Associate degree or equivalent, or 3+ years of experience in managed care, payer relations, or healthcare sales, preferably in DME or IDTF. Strong understanding of payer contracting, reimbursement methodologies, and healthcare regulations. Excellent negotiation, communication, and relationship-building skills. Proficiency in CRM and contract management systems. Ability to attend job-related courses and seminars as required. Ability to use office equipment that is relevant to job functions. Preferred Qualifications Experience working with Medicare Advantage, Medicaid MCOs, and commercial payers to obtain LOAs. Familiarity with HCPCS coding and billing practices for DME and diagnostic services. Ability to interpret and explain clinical documentation to payers. Apply Now Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: https://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 abbott.com , on LinkedIn at https://www.linkedin.com/company/abbott-/ , and on Facebook at https://www.facebook.com/AbbottCareers . The base pay for this position is $83,300.00 – $166,600.00 In specific locations, the pay range may vary from the range posted. JOB FAMILY: Sales Force DIVISION: HF Heart Failure LOCATION: United States of America : Remote 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) 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

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