Associate Manager, Clinical Trial Reimbursement at Abbott

Austin, Texas, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical DevicesIndustries

Requirements

Operate with limited day-to-day direction and at a high technical level to provide support to internal and external customers for Clinical Trial Reimbursement (CTR)
Specialized knowledge of Medicare, Medicaid, and Private Payer reimbursement procedures and requirements

Responsibilities

Review clinical investigative plan and payer policies (Medicare, Medicare Advantage, Medicaid and Private Payer) to provide coverage and reimbursement guidance for Investigational Device Exemption (IDE), Post Approval Study (PAS)/Post Market Study (PMS), Coverage with Evidence Development (CED), and any other Abbott sponsored trials designated for reimbursement across all therapy lines: Cardiac Rhythm Management, Electrophysiology, Heart Failure, Neuromodulation, Structural Heart and Vascular
Review, analyze for risk as needed and provide guidance and alternative approaches with Clinical Trial Agreements (CTA) and Informed Consent Forms (ICF) that support IDE, PAS/PMS and single-site clinical trials
Create study-level Medicare Coverage Analysis inclusive of coding and reimbursement recommendations to support budget creation of Abbott sponsored clinical research studies
Create study-specific reimbursement materials and oversee the preparation of study reimbursement documentation for distribution to IDE clinical study sites
Contribute to policy discussions and provide summary analysis for coverage requirements at national, local and payer specific coverage
Monitor and track payer policies to inform key stakeholders of coverage developments that affect existing and future clinical trials
Assist sites with Medicare, Medicare Advantage, Medicaid and Private Payor prior authorization, pre-determination, and appeal requests for subjects participating and enrolled in Abbott sponsored clinical trials
Assist sites with claim submission and appeal processes and other related matters requiring a specialized knowledge of Medicare, Medicaid and Private Payer reimbursement procedures and requirements
Heavy coordination with other internal teams, including Healthcare Economics, Clinical Operations, Clinical Data Science and Analytics, Marketing, Regulatory, Legal, Clinical Affairs, Research and senior management to develop and communicate reimbursement strategies

Skills

Clinical Trial Reimbursement

Medicare Reimbursement

Private Payer Reimbursement

Healthcare Reimbursement

Medical Devices

Abbott

Healthcare solutions in diagnostics and devices

About Abbott

Abbott Laboratories focuses on improving health through various medical technologies and health solutions. The company operates in areas such as cardiovascular health, diabetes management, diagnostic testing, nutrition, and neuromodulation for chronic pain and movement disorders. Abbott's products include advanced medical devices and diagnostic tests that help healthcare professionals and patients manage health conditions effectively. For example, their cardiovascular technologies assist in heart health management, while diabetes care products enable accurate glucose monitoring without painful fingersticks. Unlike many competitors, Abbott emphasizes accessibility and affordability in its offerings, aiming to make life-changing technologies available to a broader audience. The company's goal is to positively impact global health and well-being, supported by a commitment to sustainability and a 2030 Sustainability Plan.

Lake Bluff, IllinoisHeadquarters

1888Year Founded

IPOCompany Stage

HealthcareIndustries

10,001+Employees

Risks

Departure of key leader Dr. Adamson may affect Abbott's Heart Failure division.

Integration challenges with Medtronic could impact glucose monitor-insulin pump rollout.

Thermo Fisher's microfluidics expansion may increase competition for Abbott.

Differentiation

Abbott integrates continuous glucose monitoring with automated insulin delivery systems.

Abbott's microfluidic devices streamline diagnostic processes efficiently.

Abbott's neuromodulation products target specific nervous system areas for chronic pain relief.

Upsides

Microfluidic technology offers cost-effective solutions in diagnostics.

Strategic partnerships like Abbott-Medtronic enhance product offerings and market reach.

Significant investments indicate strong market confidence in Abbott's healthcare solutions.

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