Sr. Specialist, Payor Relations

Abbott • Livermore, CA

1d • $90,000 - $180,000

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 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. As the Program Manager, you are responsible for leading complex programs helping to build program management fundamentals for the Acelis Connected Health Business. Programs will span all major business functions (e.g. operations, commercial, revenue cycle, legal, software, IT) whereby new product development will primarily focus on digital products. This high-impact PM will additionally be instrumental in building the culture and capabilities within program management across the business, including core team structure, governance, templates, tools, and overall execution framework. As such, the right candidate will be an expert in project management fundamentals, have demonstrated strong program-level execution, and be a change agent in building a strong PM culture. 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:

Requirements

• 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.

Nice To Haves

• 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

Responsibilities

• 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

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 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level