Manager, Market Access Liaison

Abbott; Chicago (IL); Remote; USD 99,000 - 199,000; Full time

Benefits offered by this job

Career development

High employer contribution retirement

Diversity recognition

Job summary

Abbott is seeking a seasoned Market Access professional for a remote role in the Cancer Diagnostics division. You will monitor payer performance, guide resolution strategies with cross-functional teams, and support strategic payer outreach to optimize reimbursement and patient access across the United States.

The position requires 8+ years in payer strategy or billing management, a business or finance degree, and deep knowledge of CMS coding and payer policies.

Qualifications

• 8+ years of experience in market access, payer strategy, reimbursement, revenue cycle, or billing management within the healthcare services industry.
• Bachelor’s degree in business, finance, or a related field attained or equivalent work experience.
• Knowledge of genomic/oncology environments and payer policies.
• Understanding of billing and claims performance and relevant coding conventions.
• Familiarity with CMS Official Guidelines for Coding and Reporting ICD-9-CM/ICD-10-CM.

Responsibilities

• Monitor payer, claims, reimbursement, and billing performance; investigate and prioritize issues by volume, impact, and patient access.
• Develop and coordinate resolution strategies with cross-functional teams and external partners.
• Provide reimbursement guidance, education, tools, and issue support to field sales and KAMs; translate issues into scalable improvements.
• Support appeal strategy for payers and assess intervention effectiveness on a quarterly cadence.
• Maintain strong knowledge of medical billing requirements, policies, and coding practices.

Skills

Market access experience

Payer strategy

Billing management

Healthcare industry knowledge

Education

Bachelor’s degree in business/finance or related field

Tools

CMS coding guidelines

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 122,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION

Working 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.
• An excellent retirement savings plan with a high employer contribution.
• 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 is a remote position within our Abbott Cancer Diagnostics Division. Abbott's Cancer Diagnostics business was established through the acquisition of Exact Sciences', bringing together Abbott's global diagnostics leadership with Exact Sciences' expertise in cancer screening and diagnostic testing. Together, we're advancing the early detection of cancer and improving outcomes for patients through innovative, accessible testing solutions. Our combined portfolio and reach allow us to bring life-changing diagnostic technology to more patients, providers, and health systems worldwide.

What You’ll Work On

• Monitor payer, claims, reimbursement, and billing performance; investigate and prioritize material issues based on claim volume, financial impact, recurrence, and potential impact to patient access or reimbursement performance.
• Develop and coordinate resolution strategies across Key Account Managers (KAMs), Revenue Cycle, field sales, analytics, appeals, Legal, Compliance, and external billing partners, including support for out-of-network payer strategies and Advanced Diagnostic Laboratory Test (ADLT) collection and reporting processes as needed.
• Provide reimbursement and billing guidance, education, tools, and issue support to field sales and KAMs; support KAM-led payer outreach and translate recurring issues into scalable process improvements, policy clarification, and targeted education.
• Support appeal strategy for strategic payers and complex reimbursement issues, assess intervention effectiveness on a defined quarterly cadence, and communicate issue status, actions, outcomes, and recommendations to Market Access leadership and business partners.
• Maintain strong working knowledge of medical billing and reimbursement requirements, including EOBs, payer policies, contracting and coverage changes, ABN requirements, the Medicare 14-day rule, ICD-10, CPT and HCPCS coding, accounts receivable, HIPAA, and EDI claims submission methods; apply strong analytical, problem-solving, project management, and stakeholder-management skills to improve cross-functional workflows.

Required Qualifications

• Bachelor’s degree in business, finance, or a related field; or high school degree/general education diploma and 4 years of relevant experience in lieu of a bachelor’s degree.
• 8+ years of experience in market access, payer strategy, reimbursement, revenue cycle, or billing management within the healthcare services industry.
• Working knowledge of the genomic, diagnostic, or oncology environment.
• Working knowledge of commercial and government payers, reimbursement processes, payer policies, and claims performance.
• Understanding of applicable regulations impacting billing in the healthcare industry and ability to apply that knowledge to new processes and policies.
• Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-9-CM/ICD-10-CM coding.

The base pay for this position is $99,300.00 – $198,700.00. In specific locations, the pay range may vary from the range posted.

Additional Information

JOB FAMILY: Market Access DIVISION: ONCO Cancer Diagnostics LOCATION: United States of America : Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL SURVEILLANCE: No 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)

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 an Equal Opportunity Employer, committed to employee diversity.

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, and for all stages of life. Whether it’s 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 life’s 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.

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