Managed Care Contracting Specialist, Acelis Connected Health

Abbott

5d • Remote

About The Position

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 Description Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and 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 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 around the world 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 a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity 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 Contract Specialist will be 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, and maintains strong relationships with providers. The position also oversees the creation and administration of Letters of Agreement (LOAs) to support operational and financial objectives.

Requirements

• Associates degree or equivliant, 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.

Nice To Haves

• 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.

Responsibilities

• Contract Management & Renegotiation 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.
• Letters of Agreement (LOAs) Draft, review, and execute LOAs for special arrangements or exceptions.
• Serve as the primary point of contact for non-contracted DME and IDTF providers to resolve LOA billing and payment issues.
• Maintain accurate documentation and ensure timely approvals.
• Compliance & Reporting Monitor adherence to contractual obligations and regulatory requirements.
• Prepare reports on contract performance, renegotiation outcomes, and financial impact.
• Cross-Functional Collaboration Work closely with legal, finance, and operations teams to ensure alignment on contract terms and business objectives.
• Support internal stakeholders with contract interpretation and guidance.
• Market Intelligence Monitor payer policies, reimbursement trends, and regulatory changes affecting DME and IDTF services.
• Share insights with leadership to inform contracting strategies and payer engagement.

Benefits

• 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 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 around the world 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 a best place to work for diversity, working mothers, female executives, and scientists.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees