Remote Managed Care Contracting Specialist

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

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.