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
Knowledge of CMS enrollment, Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems
Strong understanding of relevant regulations and compliance strategies
Ability to develop and implement compliance policies and procedures
Experience with audits and regulatory inspections
Experience with complaint management processes and reporting requirements
Familiarity with Joint Commission accreditation processes
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
Leads organization through all activities required to maintain Joint Commission accreditation
Monitors relevant regulations for changes applicable to the 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 trains new hires
Analyzes potential contract terms

Skills

Regulatory Compliance

CMS Enrollment

Medicaid Enrollment

State Licenses

Joint Commission Accreditation

Payor Contract Review

Quality Systems

Audits

Regulatory Inspections

Complaint Management

Contract Administration

Contract Negotiation

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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