Managed Care Contracting Specialist, Acelis Connected Health at Abbott Pediatrics

Lewes, Delaware, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

166600.0

Posted On

28 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Contract Management, Renegotiation, Durable Medical Equipment (DME), Independent Diagnostic Testing Facilities (IDTF), Regulatory Compliance, Letters of Agreement (LOAs), Cost Savings, Negotiation, Relationship Building, CRM, Contract Management Systems, Medicare Advantage, Medicaid MCOs, Commercial Payers, HCPCS Coding, Billing Practices

Industry

Hospitals and Health Care

Description

Job Description Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and 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. 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 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 around the world 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 a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity 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 Contract Specialist will be 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, and maintains strong relationships with providers. The position also oversees the creation and administration of Letters of Agreement (LOAs) to support operational and financial objectives. What You’ll Work On Contract Management & Renegotiation Review, analyze, and renegotiate DME and IDTF contracts to align with organizational goals and market standards. Ensure all agreements comply with federal, state, and payer regulations. Identify opportunities for cost savings and improved service delivery through contract optimization. Letters of Agreement (LOAs) Draft, review, and execute LOAs for special arrangements or exceptions. Serve as the primary point of contact for non-contracted DME and IDTF providers to resolve LOA billing and payment issues. Maintain accurate documentation and ensure timely approvals. Compliance & Reporting Monitor adherence to contractual obligations and regulatory requirements. Prepare reports on contract performance, renegotiation outcomes, and financial impact. Cross-Functional Collaboration Work closely with legal, finance, and operations teams to ensure alignment on contract terms and business objectives. Support internal stakeholders with contract interpretation and guidance. Market Intelligence Monitor payer policies, reimbursement trends, and regulatory changes affecting DME and IDTF services. Share insights with leadership to inform contracting strategies and payer engagement. Required Qualifications Associates degree or equivliant, 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. Preferred Qualifications 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. Ability to interpret and explain clinical documentation to payers. Physical Requirements Ability to attend job related courses & seminars as required. Ability to use office equipment that is relevant to job functions. 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 $83,300.00 – $166,600.00. In specific locations, the pay range may vary from the range posted.

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Responsibilities

The Contract Specialist will manage and renegotiate contracts for Durable Medical Equipment (DME) suppliers and Independent Diagnostic Testing Facilities (IDTF), ensuring compliance and optimizing contractual terms. This role also oversees the creation and administration of Letters of Agreement (LOAs) to meet operational and financial objectives.