Sr. Manager, Payor Relations & Regulatory Affairs at Abbott

Livermore, California, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Experience in regulatory compliance within the healthcare industry
Strong understanding of CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, and payor contract review
Knowledge of quality systems and compliance strategies
Ability to manage audits and regulatory inspections
Experience with complaint management processes and reporting requirements
Familiarity with relevant regulations and their impact on the business
Contract Administration experience

Responsibilities

Directly manages a team responsible for CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems
Develops and participates in setting compliance strategies and initiatives
Oversees business policies, processes, and programs to ensure business remains compliant to regulatory and contract requirements
In charge of audits and regulatory inspections
Ensures business licenses are up to date and compliant with all geographies the business operates within
Provides oversight to the complaint management process and reporting requirements
Leads organization through all activities required to maintain Joint Commission accreditation
Monitors relevant regulations for changes applicable to business and ensures policies and procedures are updated as needed
Ensures timely processing of sales contracts and Medicaid enrollments
Negotiates and drafts high-value complex contract terms and conditions in accordance with corporate policies
Acts as a Contract Administration lead and be able to train new hires
Analyzes potential contract terms and conditions

Skills

Key technologies and capabilities for this role

Regulatory ComplianceCMS EnrollmentMedicaid EnrollmentState LicensesJoint Commission AccreditationPayor Contract ReviewQuality SystemsAudit ManagementRegulatory InspectionsComplaint ManagementContract Administration

Questions & Answers

Common questions about this position

Is this position remote or onsite?

The position is onsite in Livermore, California.

What benefits does Abbott offer?

Abbott offers career development opportunities, Health Investment Plan (HIP) PPO medical plan eligibility, an excellent retirement savings plan with high employer contribution, tuition reimbursement, Freedom 2 Save student debt program, FreeU education benefit, and recognition as a great place to work for diversity and other categories.

What key skills and experience are required for this role?

Required experience includes regulatory compliance in healthcare, strong understanding of CMS and Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, knowledge of quality systems, ability to manage audits and inspections, complaint management, and contract administration.

What does the team structure look like for this position?

The role directly manages a team responsible for CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems.

What makes a strong candidate for this Sr. Manager role?

A strong candidate will have healthcare regulatory compliance experience, expertise in CMS/Medicaid enrollments, payor contracts, quality systems, audit management, and contract administration, plus the ability to lead a team and develop compliance strategies.

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