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

Regulatory Compliance

CMS Enrollment

Medicaid Enrollment

State Licenses

Joint Commission Accreditation

Payor Contract Review

Quality Systems

Audit Management

Regulatory Inspections

Complaint Management

Contract Administration

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