Managed Care Contracting Specialist, Acelis Connected Health

Abbott; Alton (IL); Remote; USD 75,000 - 115,000; Full time

Job summary

Abbott seeks a Managed Care Contracting Specialist for Acelis Connected Health to manage and renegotiate contracts for DME suppliers and IDTFs. The role emphasizes compliance, contract optimization, and LOA administration to support operations and financial goals.

The position requires strong negotiation, payer contracting expertise, and experience with Medicare/Medicaid and commercial payers. Remote work option is available with travel as needed.

Qualifications

• Associate degree or 3+ years in managed care, payer relations, or healthcare sales (DME/IDTF preferred).
• Strong understanding of payer contracting and reimbursement methodologies.
• Excellent negotiation and relationship-building skills.
• Proficiency with CRM and contract management systems.
• Experience with Medicare Advantage, Medicaid MCOs, and commercial payers for LOAs.
• Familiarity with HCPCS coding and billing for DME and diagnostic services.

Responsibilities

• Identify opportunities for cost savings and improved service delivery through contract optimization.
• Draft, review, and execute LOAs for special arrangements or exceptions, including resolving billing issues with non-contracted providers.
• Monitor contract performance, reimbursement trends, regulatory changes, and provide reporting and strategic insights to leadership.

Skills

Payer contracting

Negotiation

Relationship building

CRM systems

Contract management

Billing & HCPCS

Education

Associate degree or equivalent

Tools

CRM systems

Contract management software

Job description

Managed Care Contracting Specialist, Acelis Connected Health

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 122,000 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 your family, be your true self, and live a full life. 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.

Acelis Connected Health – Heart Failure (HF)

In Abbott’s Heart Failure (HF) business, we’re developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

The Managed Care Contracting Specialist, Acelis Connected Health is responsible for managing and renegotiating contracts for Durable Medical Equipment (DME) suppliers and Independent Diagnostic Testing Facilities (IDTF). This role ensures compliance with regulatory requirements, optimizes contractual terms, maintains provider relationships, and oversees the creation and administration of Letters of Agreement (LOAs) that support operational and financial objectives.

Responsibilities

• Identify opportunities for cost savings and improved service delivery through contract optimization.
• Draft, review, and execute LOAs for special arrangements or exceptions, including resolving billing and payment issues with non-contracted providers.
• Monitor contract performance, reimbursement trends, regulatory changes, and provide reporting and strategic insights to leadership.

Requirements

• Associate degree or equivalent, or 3+ years of experience in managed care, payer relations, or healthcare sales, preferably in DME or IDTF.
• Strong understanding of payer contracting, reimbursement methodologies, and healthcare regulations.
• Excellent negotiation, communication, and relationship-building skills.
• Proficiency in CRM and contract management systems.
• Ability to use office equipment that is relevant to job functions.
• Experience working with Medicare Advantage, Medicaid MCOs, and commercial payers to obtain LOAs.
• Familiarity with HCPCS coding and billing practices for DME and diagnostic services.

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:

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.

Remote

WORK SHIFT:

Standard TRAVEL: Not specified

MEDICAL SURVEILLANCE: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.

Abbott is an Equal Opportunity Employer, committed to employee diversity.