Sr. Manager, Payor Relations & Regulatory Affairs

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.

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

This position is based in Livermore, California and supports the Acelis Connected Health business, which is part of Abbott’s 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.

This position leads payor relations (including payor contracting) and regulatory affairs, which are foundational functions to driving ongoing compliance and innovation within Acelis Connected Health.

What You’ll Work On

• 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

Required Qualifications

• 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.

Preferred Qualifications

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

  Minimum intermediate Word and Excel experience a must.

• 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.

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. 

The base pay for this position is

$146,700.00 – $293,300.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Regulatory Operations

DIVISION:

HF Heart Failure

LOCATION:

United States > Livermore : 6465 National Drive

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Not specified

MEDICAL SURVEILLANCE:

Not Applicable

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link- English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link- Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf