Principal Specialist, Clinical Contracts & Reimbursement

Employment Type: Full-time

Position Overview

Abbott is a global healthcare leader dedicated to helping people live more fully at all stages of life. Our comprehensive portfolio of life-changing technologies spans diagnostics, medical devices, nutritionals, and branded generic medicines. With 114,000 colleagues serving individuals in over 160 countries, Abbott is committed to making a meaningful impact on global health.

This role is a new position created within Global Clinical Operations to support clinical trial reimbursement activities and interface with Healthcare Economics & Reimbursement (HE&R).

What You’ll Work On

• Performs protocol and budget reviews, including Medicare Coverage Analysis, to provide guidance regarding clinical trial reimbursement for Investigational Device Exemption (IDE), Post Approval Study (PAS)/ Post Market Study (PMS), Humanitarian Use Device (HUD), and any other Abbott-sponsored trials designated for reimbursement.
• Reviews and supports site negotiations of Clinical Trial Agreements (CTA), budgets, and site-specific informed consent forms for Abbott-sponsored clinical trials, ensuring reimbursement and compensation processes adhere to company standards, policies, and compliance.
• Collaborates with internal teams, including Healthcare Economics, Marketing, Clinical Operations, Regulatory, Legal, Clinical Affairs, Research, and senior management, to develop and communicate recommendations regarding clinical trial reimbursement issues and their implications on technology-specific US reimbursement.
• Faces complex problems and must develop the best solution or application from many alternatives.
• Reviews protocols to provide consultation/guidance on CPT/DRG codes for budget template development.
• Reviews site budget responses and addresses changes to routine care delineation during the budget negotiation process.
• Reviews site responses to contracts and ICFs for any subject injury language edits.
• Serves as the single point of contact for HE&R for escalation on complex negotiations.
• Determines priorities, defines what work should be accomplished, and decides how work should be accomplished. Allowed to change procedures or approaches, as appropriate.
• Makes decisions regarding utilizing the right CPT codes for protocol-required tests and procedures during budget development and provides recommendations for the best reimbursement strategy for a trial and its impact on enrollment.

Requirements

• Required Qualifications:
  • Bachelor’s degree in business administration, sciences, nursing, or a related field, or equivalent work experience.
  • Minimum of 3 years of experience involving coverage policies, procedures, and regulations, including but not limited to: Clinical and AdvaMed Code of Ethics on Interactions with Health Care Professionals.
  • Experience with US reimbursement coding and diagnostics.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to:

• Career Development: Opportunities for growth within an international company where you can build the career you dream of.
• Health Benefits: Employees may qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• Retirement Savings: An excellent retirement savings plan with a high employer contribution.
• Education Benefits: Tuition reimbursement, the Freedom 2 Save student debt program, and the FreeU education benefit – an affordable and convenient path to earning a bachelor’s degree.
• Recognition: 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. Abbott is also 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 Information

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.

Application Instructions

Salary: [Not Specified] Location Type: [Not Specified]