Senior Manager – Market Access Strategy

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $129.3k - $258.7k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Abbott

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1888

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare • Healthcare Insurance • Biotechnology

Abbott is a global healthcare company committed to advancing medical technologies and improving lives around the world. It offers a broad range of leading products in diagnostics, medical devices, nutrition, and branded generic medicines. Abbott's innovations such as the FreeStyle Libre glucose monitoring systems and BinaxNOW rapid antigen tests are transforming diabetes management and COVID-19 response. Through its partnerships and initiatives, Abbott aims to foster health equity, improve access to healthcare, and address critical health challenges like malnutrition and infectious diseases. Abbott is also dedicated to sustainability and social responsibility, striving to make life-changing technologies accessible and affordable.

📋 Description

• Serve as a strategic advisor on coding, coverage, and payment strategy for pipeline and on-market products • Assess competitive positioning, reimbursement risks, and opportunities • Translate regulatory and reimbursement requirements into actionable guidance for commercial, field, laboratory, and operational teams • Lead and support implementation of reimbursement requirements, including ADLT collection and reporting, new coverage mandates, and applicable state coverage laws • Partner across Market Access, Revenue Cycle, Laboratory Operations, and other functions to resolve reimbursement, billing, and payer-performance issues • Optimize appeal strategies • Serve as a subject-matter expert on federal and state health policy and reimbursement issues affecting laboratory diagnostics • Monitor legislative, regulatory, and payer-policy developments • Translate policy changes into business implications, risks, opportunities, and recommended actions • Lead or coordinate cross-functional responses, executive communications, company positions, regulatory comments, and agency submissions • Represent Abbott Cancer Diagnostics in trade associations, coalitions, and advocacy organizations • Maintain expertise in emerging reimbursement requirements, industry trends, and market-access practices

🎯 Requirements

• Bachelor’s degree in a relevant field aligned with the essential duties • 8+ years of experience advising healthcare organizations on legal, regulatory, and strategic matters related to government and commercial insurance coverage, billing and reimbursement, fraud, waste and abuse, provider licensing, and patient or consumer protection • 5+ years of experience advising CLIA laboratories on legal and/or Market Access strategy matters related to diagnostics • Advanced knowledge of official healthcare billing and coding guidelines, including requirements from CMS and other agencies within the U.S. Department of Health and Human Services (HHS) • Basic knowledge of the Medicare Molecular Diagnostics (MolDx) program • Demonstrated experience engaging with trade associations, coalitions, and state advocacy groups and translating legislative and regulatory language into business and operational impact • Experience translating legislative and regulatory language into business and operational impact • Excellent written and verbal communication skills, with the ability to distill complex policy and reimbursement issues into clear, actionable recommendations • Strong organizational skills with the ability to manage multiple priorities and large cross-functional initiatives in a fast-paced, matrixed environment • Advanced degree preferred • J.D. degree preferred • Advanced understanding of healthcare provider revenue cycle functions, processes, and healthcare IT systems preferred • Advanced knowledge of and experience engaging directly with MolDx, including submissions of Technical Assessments preferred • Willingness to travel approximately 10% of the time

🏖️ Benefits

• Career development with an international company • Excellent retirement savings plan with a high employer contribution • Health and wellness benefits • Opportunities to grow and learn • Work that supports work-life and family well-being