Managed Care Sales Specialist, Heart Failure
2 weeks ago
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 114,000 colleagues serve people in more than 160 countries.Working at AbbottAt 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.Free medical coverage for employees* via the Health Investment Plan (HIP) PPOAn excellent retirement savings plan with high employer contributionTuition 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 This position works on site out of our Livermore, CA or Orlando, FL location supporting the Heart Failure Division. 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 Managed Care Sales Specialist is responsible for key account Managed Care Sales. Managed Care sales targets include national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk (medical groups and IPAs), Self-funded plans, Third Party Administrators, and Workers Compensation payors/networks.What You’ll Work OnImplements corporate strategies to increase revenue and health plan covered lives.Identify, develop, implement and maintain managed care relationships.Closing and executing payor contracts, and building corresponding covered lives and associated revenue growth.Develop business relationships on behalf of the company and effectively build and promote the company’s payer value proposition to national, regional, and local insurance carriers.Position home INR monitoring and VAD product lines as well as other identified services to payers and their provider arms (if applicable) as a superior, preferred, and cost-effective means to support chronic disease management.Work in partnership with available resources to develop creative contracting strategies and to close sales opportunities.Monitors the healthcare market and recommends new and creative business opportunities as it relates to managed care.Establishes guidelines for and negotiates contracts with payer customers for Acelis Connected Health products and services to ensure and achieve revenue growth, product implementation, and potential service expansion.Successfully implements managed care business plans for sales, product/service development, and provider relations.Participates in the development/production of payer proposals and other related correspondence leading to enhanced business revenue. Provides or coordinates clinical support during the sales process to enhance payer awareness and increase utilization of Acelis Connected Health products and services.Develops and maintains relationship with national, regional, and local key accounts and strategically targets accounts to increase market share and enhance business revenues.Ability to obtain and foster positive relationships with key accounts through excellent interpersonal and communication skills.Maintains ongoing account management post contract execution of contracts with assigned payer accounts. Provides proactive customer service, which includes facilitating resolution of customer issues and fulfillment of customer requests.Operates within executive guidelines and corporate objectives to assist in the development of strategic sales and business development proposals. Organizes and manages identified internal and external resources required to implement approved business development initiatives.Maintains positive relationships with the payor customer while balancing Acelis Connected Health’s best interests in negotiating the contract.Facilitates and communicates with finance, sales, operations, clinical, and administrative staff to achieve common goals and objectives.Prepares Managed Care updates to assist other departments of Acelis Connected Health with current status of health plan contracts.Assists with contract review, interpretation, and adherence to contract terms.Interacts, develops, and executes strategies with other Abbott business units and partners as appropriate to uncover and close new business opportunities.Follows all regulatory policies, procedures, privacy, and security standards in accordance with government agencies including all HIPAA requirements.Required Qualifications Bachelor’s degree and equivalent experience in healthcare, business, or a related field.6+ years of relevant working experience in provider/payor contracting in a managed care sales setting.5+ years face to face or over the phone sales experience in healthcare environment.Extensive knowledge of health insurance plans (Medicare, Medicaid, Managed Care, PPO, POS, Self-funded, TPAs, Workers Comp, etc.) and health care environment.Proficient negotiating contracts and agreements.Working knowledge of HCPCS and ICD-10 codesAdvanced Excel skills.Excellent written and verbal communication skillsPreferred QualificationsMasters DegreeExperience in physician, hospital, and disease management sales.Works well with management, peers and subordinates.Advanced knowledge of provider contracts and health care reimbursement and ability to negotiate effectively with internal/external stakeholders and payors. Payors includes national payors, national networks, managed care organizations (HMO, PPO, POS, EPO), providers at financial risk (hospital/health system, medical group and IPA), Self-funded plans, Third Party Administrators, and Workers Compensation payors/networks.* 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: 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 , on Facebook at and on Twitter @AbbottNews and @AbbottGlobal.The base pay for this position is $109,300.00 – $218,500.00. In specific locations, the pay range may vary from the range posted.Job SummaryJob number: 31086815Date posted : 2024-05-02Profession: Market AccessEmployment type: Full time
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