Manager, Market Access Liaison

Abbott Laboratories; Illinois; Remote; USD 99.000 - 199.000; Vollzeit

Benefits dieser Stelle

Free wellness assessment

HIP PPO medical plan coverage

Zusammenfassung

Abbott is seeking a Manager, Market Access Liaison to optimize payer performance and resolve coverage, reimbursement, and billing issues that affect patient access. This remote role spans Abbott's Cancer Diagnostics portfolio, emphasizing collaboration with KAMs, Revenue Cycle, and external partners.

You will guide field teams with education and tools, support payer outreach, and drive process improvements while applying deep knowledge of billing, coding, and payer policies.

Qualifikationen

• Bachelor’s degree in business, finance, or related field (or 4 years of relevant experience in lieu).
• 8+ years in market access, payer strategy, reimbursement, revenue cycle, or billing management in healthcare services.
• Working knowledge of genomic/diagnostic/oncology environments.
• Knowledge of payer policies and claims performance; billing regulations awareness.
• Understanding CMS ICD-10/ICD-9 coding conventions.

Aufgaben

• Monitor payer, claims, reimbursement, and billing performance; prioritize issues by impact.
• Develop resolution strategies across KAMs, Revenue Cycle, sales, analytics, and partners.
• Provide reimbursement guidance, tools, and education to field teams and KAMs.
• Support payer outreach and translate issues into scalable process improvements.
• Maintain knowledge of billing regulations and apply to cross-functional workflows.

Kenntnisse

Market access

Payer strategy

Reimbursement

Billing management

Ausbildung

Bachelor’s degree in business/finance or related field

Jobbeschreibung

Working at Abbott

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.

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.

As the Manager, Market Access Liaison, you’ll have the chance to optimize payer performance and identify, investigate, and resolve coverage, reimbursement, and billing issues that may create barriers to patient access across the Abbott Cancer Diagnostics portfolio

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.

Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. Free coverage applies in the next calendar year.

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 and @AbbottGlobal.

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.