Sr. Manager, Payor Relations & Regulatory Affairs

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.

JOB DESCRIPTION:

Working at Abbott

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

• Career development with an international company where you can grow the career you dream of.

• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year
• An excellent retirement savings plan with high employer contribution

• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree.

• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.

• A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position works out of our Livermore, California location in the Heart Failure Division. In Abbott's Heart Failure (HF) business, we're developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices of the business remain compliant to regulatory and contract requirements.

What You'll Work On

• Directly manages team responsible for following: 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.
• Responsible for ensuring 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 ensure policies and procedures are updated as needed
• Ensure timely processing of sales contracts and Medicaid enrollments
• Negotiate and draft 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
• Analyze potential risks that contract changes may pose to the organization and provide solution
• Present and explain contract conditions and details to customers, business partners, and management
• Work with different levels of personnel within an organization to analyze and solidify an overall contract strategy
• Interface with internal fulfillment group and distributors to establish working relationships, assure proper end-user pricing and contract effective dates are loaded
• Perform other duties & projects as assigned.
• Understands and is aware of the quality consequences which may occur from the improper performance of their specific job.

Required Qualifications

• Demonstrated ability of effective and constructive communication across departmental disciplines while pursuing contract department goals.
• Experience and competency with EMR systems, Government and Insurance Portals
• Must have excellent oral, written and interpersonal communication skills
• Must have customer service attitude & good computer skills (Microsoft Word, Excel, Outlook, etc.)
• Self-starter and a multi-tasker
• Ability to work in a high volume, dynamic team environment

Preferred Qualifications

• 10+ years of relevant experience
• Bachelor's degree or equivalent experience
• Experience with regulations pertaining to being a service provider for durable medical equipment (DME) and/or an independent diagnostic test facility (IDTF) strongly preferred

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews.

The base pay for this position is
$146,700.00 - $293,300.00
In specific locations, the pay range may vary from the range posted.

JOB FAMILY:
Regulatory Operations

DIVISION:
HF Heart Failure

LOCATION:
United States > Livermore : 6465 National Drive

ADDITIONAL LOCATIONS:

WORK SHIFT:
Standard

TRAVEL:
Not specified

MEDICAL SURVEILLANCE:
Not Applicable

SIGNIFICANT WORK ACTIVITIES:
Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf