Senior Specialist, Payer 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 114,000 colleagues serve people in more than 160 countries.

     

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  

This position works out of our Livermore, CA office in our Heart Failure, Acelis Connected Health business.  Our Heart Failure solutions are helping address some of the World’s greatest healthcare challenges.

What You’ll Work On

The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.

• Well developed, advanced knowledge and skills for assisting in the commercial payor contract review process, including the implementation of contractual payor arrangements.
• Ability to collaborate with cross functional teams to ensure successful outcomes effectively.
• Provides monitoring and analysis of pre and post implemented payor contracts and payor performance and assists with remediation efforts as needed.
• Responsible for initial and re-credentialing effort to support payor contracting and existing CMS enrollments and revalidations.
• Routinely interacts with healthcare payors to support contracting efforts, to establish and maintain strong and healthy payor relations, including but not limited to credentialing and re-credentialing activities on a routine basis.

Required Qualifications

• Bachelor Degree (± 5 years related experience in field)
• Strong analytic and effective problem solving skills
• Ability to work independently and respond to competing high priority tasks effectively
• Commercial payor contract review experience
• Managed Medicare and managed Medicaid contract experience
• Experience working for healthcare providers
• Experience working for a commercial healthcare payors
• Salesforce, advanced Excel Skills

Preferred Qualifications

• Master Degree (± 10 years related experience in field)
• Xifin, Power BI, Power Point Professional, SQL

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. 

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