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Senior Specialist, Payer Relations

Location United States - California - Livermore Category Marketing
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JOB DESCRIPTION

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.

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. 



The base pay for this position is $86,700.00 – $173,300.00. In specific locations, the pay range may vary from the range posted.

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Job Id 31113919 Location United States - California - Livermore Medical surveillance Not Applicable Division HF Heart Failure Travel Not specified Additional Location Significant work activities Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day); Keyboard use (greater or equal to 50% of the workday)

CREATING POSSIBILITIES

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INNOVATIVE BENEFITS
We support our colleagues around the world as they care for themselves and their families with offerings tailored to their unique needs.
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DIVERSITY & INCLUSION
We strive to provide environments where all employees feel welcome and able to bring their full selves to work. To do this we integrate diversity, equity, and inclusion across Abbott.
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SUSTAINABILITY FOR OUR FUTURE
At Abbott, sustainability means managing our efforts so we can help the greatest number of people around the world live fuller lives through better health.

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AN EQUAL OPPORTUNITY EMPLOYER

Abbott welcomes and encourages diversity in our workforce including Minorities, Women, Individuals with Disabilities and Protected Veterans.

> EEO (ENGLISH)               > EEO (SPANISH)                > PAY TRANSPARENCY NONDISCRIMINATION PROVISION

We provide reasonable accommodation to qualified individuals with disabilities. U.S. residents only: To request accommodation, please call 224-667-4913 or email corpjat@abbott.com.