• Receiving, investigating and responding verbally and in writing to member and provider clinical appeals and grievances • Ensures that appeals and grievances are properly classified (e.g. denial of service, denial of payment, or a grievance about a provider) • Processes appeals and grievances in accordance with internal company policy • Enters data into appropriate medical management services • Collaborates with other departments to thoroughly investigate appeal and grievances • Prepares for and participates in regulatory site visits • Additional duties as assigned

Role Description This position is a field-based position based in Delray Beach, FL in the Cardiac Rhythm Management division. As a global leader in Cardiac Rhythm Technologies, we focus on innovative technologies that can improve the way doctors treat people with heart arrhythmias or irregular heartbeats. Under general direction, the CRM Product Support Specialist provides comprehensive engineering, sales, educational, and technical support. This role responds to field inquiries from physicians, healthcare professionals, patients, and field sales staff regarding CRM (Cardiac Rhythm Management) products. What You’ll Work On - Clinical Interface: Acts as a clinical interface between the medical community and the business. - Relationship Building: Demonstrates the ability to build and sustain credible business relationships with customers and share product expertise accordingly. - Comprehensive Support: Provides engineering, sales, education, and clinical support in response to field inquiries on an as-needed basis. Demonstrates a thorough command of all CRM products, related product and technical knowledge, trends, and players. - Training and Education: Develops, leads, and/or facilitates training sessions and other programs on CRM products for healthcare professionals. - Sales Support: Provides additional back-up support to CRM Sales Representatives. Qualifications - Bachelor’s degree in Bio-Medical Engineering, related field or equivalent healthcare experience. - 3+ years of related experience or a program certification from an accredited cardiac training program. - Must have certifications in CRM products. - Demonstrated knowledge of cardiology, electro-physiology, or cardiac electro-physiology procedures. - Familiarity with cath lab and operating room procedures and protocol. - Demonstrate advanced knowledge of cardiac pacing systems. - Must apply engineering skills and abilities to interpret and solve complex clinical problems. - Must possess strong written and verbal communication skills, along with excellent interpersonal, presentation, analytical, and organizational abilities. - Must be detail-oriented and capable of working independently. - Must be able to collaborate effectively with engineers, technical specialists, vendors, and customers to achieve assigned goals. - Must have extensive personal computer skills, including experience with Microsoft Office or equivalent software. Benefits - 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 a 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 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. Company Description 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 115,000 colleagues serve people in more than 160 countries.

• Deliver onsite and remote clinical applications training for Molecular Imaging systems, ensuring customers achieve proficiency and confidence in equipment use; • Partner with Sales, Service, and Clinical Education teams to coordinate system installations, clinical go-lives, and user adoption activities; • Support customers in optimizing clinical workflows, image quality, productivity, and patient care outcomes; • Build and maintain strong long-term relationships with customers by providing ongoing clinical support and timely solutions to their needs; • Promote the clinical and operational value of GE HealthCare solutions by aligning product capabilities with customer requirements and objectives; • Develop and maintain a network of key opinion leaders and clinical stakeholders across the assigned territory; • Support customer events, workshops, trade shows, user meetings, and educational programs through presentations, demonstrations, and clinical expertise; • Utilize digital education tools and platforms to enhance learning experiences and support GE HealthCare’s digital transformation initiatives; • Accurately document training activities, customer visits, and interactions in accordance with local processes and compliance requirements.

• responsible for the strategic design, preparation and execution of hands-on training experiences for Professional Education under North America Global Education Solutions • supports R&D, Marketing, Education Grants, and Meetings and Conventions • partner with colleagues to effectively teach and train on the safe and efficacious use of Johnson & Johnson products in a lab setting to external Healthcare Professional customers • serve as the subject matter expert on anatomy, language of medicine, clinical procedures, disease states and all Johnson & Johnson technologies • manage priorities and timelines well and be comfortable in a fast-paced environment • ensure compliance to all legal, regulatory and HCC policies • conduct thorough formal on-site assessments of field based sites for compliance