Manager, Market Access Liaison

Abbott Laboratories; Illinois; Remote; USD 99,000 - 199,000; Full time

Benefits offered by this job

Wellness assessment

HIP PPO medical plan

Health benefits

Job summary

Abbott is seeking a Manager, Market Access Liaison for a remote, national role. You will optimize payer performance, resolve coverage and billing issues, and collaborate across Sales, Analytics, Legal, and Compliance to improve patient access across the Cancer Diagnostics portfolio.

The role requires extensive market access experience, knowledge of payer policies, and strong analytical and project-management skills. Abbots benefits and wellness programs support work-life balance.

Qualifications

• Bachelor’s degree in business, finance, or related field; or 4 years experience in lieu.
• 8+ years of experience in market access, payer strategy, reimbursement, revenue cycle, or billing management in healthcare.
• Experience in genomic/diagnostic/oncology environments.
• Knowledge of payer policies, claims performance, and reimbursement processes.
• Understanding billing regulations and CMS coding guidelines.

Responsibilities

• Monitor payer performance, claims, and billing; prioritize issues by volume and impact.
• Coordinate strategies with KAMs, Revenue Cycle, field sales, and compliance teams.
• Provide guidance and tools for reimbursement, educate field teams, support payer outreach.
• Assist with appeal strategies for payers and monitor intervention effectiveness quarterly.
• Maintain knowledge of medical billing, HIPAA, ICD-10/CPT/HCPCS coding and related policies.

Skills

Market access

Payer strategy

Revenue cycle

Billing management

Analytical skills

Education

Bachelor’s degree in business/finance

Job description

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.