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. Youll 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 bachelors 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 Worlds 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 Youll 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 Bachelors 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 Masters 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 Abbott is about the power of health. For more than 135 years, Abbott has been helping people reach their potential because better health allows people and communities to achieve more. With a diverse, global network serving customers in more than 160 countries, we create new solutions across the spectrum of health, around the world, for all stages of life. Whether its next-generation diagnostics, life-changing devices, science-based nutrition, or novel reformulations, we are advancing some of the most innovative and revolutionary technologies in healthcare, helping people live their best lives through better health. The people of Abbott come to work each day with relentless energy, enthusiasm and a promise to enhance the health and well-being of millions of people. They push the boundaries to help manage and treat some of lifes greatest health challenges. We invite you to explore opportunities at Abbott, to see if your talents and career aspirations may fit with our openings. An equal opportunity employer, Abbott welcomes and encourages diversity in our workforce. Follow Us: Facebook LinkedIn YouTube Twitter