Manager, Market Access Liaison
About The Position
This is a remote position within Abbott's Cancer Diagnostics Division. Abbott's Cancer Diagnostics business was established through the acquisition of Exact Sciences', bringing together Abbott's global diagnostics leadership with Exact Sciences' expertise in cancer screening and diagnostic testing. Together, we're advancing the early detection of cancer and improving outcomes for patients through innovative, accessible testing solutions. Our combined portfolio and reach allow us to bring life-changing diagnostic technology to more patients, providers, and health systems worldwide. As the Manager, Market Access Liaison, you’ll have the chance to optimize payer performance and identify, investigate, and resolve coverage, reimbursement, and billing issues that may create barriers to patient access across the Abbott Cancer Diagnostics portfolio.
Requirements
- Bachelor’s degree in business, finance, or a related field; or high school degree/general education diploma and 4 years of relevant experience in lieu of a bachelor’s degree.
- 8+ years of experience in market access, payer strategy, reimbursement, revenue cycle, or billing management within the healthcare services industry.
- Working knowledge of the genomic, diagnostic, or oncology environment.
- Working knowledge of commercial and government payers, reimbursement processes, payer policies, and claims performance.
- Understanding of applicable regulations impacting billing in the healthcare industry and ability to apply that knowledge to new processes and policies.
- Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-9-CM/ICD-10-CM coding.
Responsibilities
- Monitor payer, claims, reimbursement, and billing performance; investigate and prioritize material issues based on claim volume, financial impact, recurrence, and potential impact to patient access or reimbursement performance.
- Develop and coordinate resolution strategies across Key Account Managers (KAMs), Revenue Cycle, field sales, analytics, appeals, Legal, Compliance, and external billing partners, including support for out-of-network payer strategies and Advanced Diagnostic Laboratory Test (ADLT) collection and reporting processes as needed.
- Provide reimbursement and billing guidance, education, tools, and issue support to field sales and KAMs; support KAM-led payer outreach and translate recurring issues into scalable process improvements, policy clarification, and targeted education.
- Support appeal strategy for strategic payers and complex reimbursement issues, assess intervention effectiveness on a defined quarterly cadence, and communicate issue status, actions, outcomes, and recommendations to Market Access leadership and business partners.
- Maintain strong working knowledge of medical billing and reimbursement requirements, including EOBs, payer policies, contracting and coverage changes, ABN requirements, the Medicare 14-day rule, ICD-10, CPT and HCPCS coding, accounts receivable, HIPAA, and EDI claims submission methods; apply strong analytical, problem-solving, project management, and stakeholder-management skills to improve cross-functional workflows.
Benefits
- Career development with an international company where you can grow the career you dream of.
- An excellent retirement savings plan with a high employer contribution.
- 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.
- FREE coverage in our HIP PPO medical plan for participants who complete a short wellness assessment (applies in the next calendar year).
- Health and wellness benefits that provide the security to help you and your family live full lives.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
