Director, Field Reimbursement and East Payer Relations
HeartFlowSalary not specified
- Full Time
- Senior (5 to 8 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Medical Devices, PharmaceuticalsIndustries
Requirements
Candidates should possess a Bachelor’s degree in business administration, sciences, nursing, or a related field, or equivalent work experience. They must also have a 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, Diagnostic procedures, and Medicare Coverage Analysis is required.
Responsibilities
The Principal Specialist, Clinical Contracts & Reimbursement will perform protocol and budget reviews, including Medicare Coverage Analysis, to provide guidance regarding clinical trial reimbursement for Abbott’s clinical trials. They will support site negotiations of Clinical trial agreements (CTA), budgets, and site-specific informed consent forms, ensuring reimbursement and compensation processes adhere to company standards and compliance. The role involves collaborating with internal teams to develop and communicate recommendations regarding clinical trial reimbursement issues, reviewing protocol for CPT/DRG codes, and addressing changes to routine care delineation during budget negotiation. They will serve as a single point of contact for HE&R on complex negotiations, determining priorities, and utilizing the right CPT codes for protocol required tests and procedures during budget development, ultimately providing recommendations for the best reimbursement strategy for a trial and impact to enrollment.
Skills
Clinical Contracts
Reimbursement
Budget Development
Coverage Analysis
Contract Negotiation
Procedure Pricing
Medicare Coverage Analysis
Clinical Trial Reimbursement
Protocol Review
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.
Key Metrics
Lake Bluff, IllinoisHeadquarters
1888Year Founded
IPOCompany Stage
HealthcareIndustries
10,001+Employees