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Abbott · 5 months ago

Sr. Manager, Payor Relations & Regulatory Affairs

Livermore, CA

Full-time

Onsite

Senior Level

$147K/yr - $293K/yr

7+ years exp

Abbott is a global healthcare leader that helps people live more fully at all stages of life. The Sr. Manager, Payor Relations & Regulatory Affairs will lead payor relations and regulatory affairs for the Acelis Connected Health business, ensuring compliance and driving innovation within the Heart Failure Division.

BiotechnologyEmergency MedicineGeneticsHealth CareHealth DiagnosticsManufacturingMedicalMedical DeviceNutritionPharmaceutical

Responsibilities

Directly manages team responsible for following : payor contract negotiation, payor contract implementation, payor contract monitoring, Medicare/Medicaid enrollment, state licensing, and Joint Commission accreditation

Negotiates, drafts, implements, and monitors commercial contracts across major US-based health plans, in accordance with corporate policies and regulatory requirements

Leads organization through all activities required to maintain Joint Commission accreditation, including audits & inspections

Responsible for ensuring business licenses are up to date and compliant with all geographies the business operates within

Leads business-wide contracting governance processes in collaboration with Revenue Cycle Management, Commercial Contracting, and Finance

Qualification

Payor contractingRegulatory complianceContract negotiationJoint Commission accreditationMedicare/Medicaid enrollmentState licensingPolicy managementWordExcelTeam management

Required

An associate degree with a minimum of 7 years of relevant experience is required

A bachelor's degree with 10 or more years of experience is strongly preferred

Minimum intermediate Word and Excel experience a must

Preferred

Relevant experience in payor contracting and regulatory compliance at a healthcare provider, payor, or network

Commercial payor (e.g. medical insurance companies) contracting and relations, preferably within the DME/IDTF provider space

Regulatory compliance and policy management in one (or multiple) of the following fields: DME, IDTF, hospital administration, Medicare, Medicaid, commercial payors

Experience leading regulatory audits, either as auditor or auditee, preferably for Joint Commission accreditation

Experience working with state licensing bodies in the supply of medical products and/or services, preferably within the DME/IDTF provider space

Benefits

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.