Senior Manager, Market Access Strategy

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a strategic consultant regarding coding, coverage, and payment strategies for both pipeline and existing products.

• Evaluate competitive positioning, identify reimbursement risks and opportunities, and convert requirements into actionable directives for commercial, field, laboratory, and operational teams.

• Oversee and facilitate the operational execution of reimbursement requirements, encompassing ADLT collection and reporting, new coverage mandates, as well as state biomarker, cancer screening, and other relevant coverage regulations.

• Collaborate across Market Access, Revenue Cycle, Laboratory Operations, and other departments to address systemic reimbursement, billing, and payer-performance challenges while enhancing appeal strategies.

• Function as a subject matter expert on federal and state health policies and reimbursement issues impacting laboratory diagnostics.

• Track legislative, regulatory, and payer-policy changes and interpret their implications for business, including risks, opportunities, and suggested actions.

• Lead or coordinate cross-functional responses, executive communications, company stances, regulatory comments, and submissions to various agencies.

• Represent Abbott Cancer Diagnostics in trade associations, coalitions, and advocacy groups.

• Keep updated expertise on emerging reimbursement requirements, industry trends, and market-access practices.

⛳️ Requirements

• Bachelor’s degree in a relevant field that aligns with the core responsibilities.

• Over 8 years of experience advising healthcare organizations on legal, regulatory, and strategic issues related to government and commercial insurance coverage, billing and reimbursement, as well as fraud, waste and abuse, provider licensing, and patient or consumer protection.

• At least 5 years of experience offering advice to CLIA laboratories on legal and/or Market Access strategy matters pertaining to diagnostics.

• In-depth knowledge of official healthcare billing and coding guidelines, including those set by CMS and other entities within the U.S. Department of Health and Human Services (HHS).

• Fundamental understanding of the Medicare Molecular Diagnostics (MolDx) program.

• Proven experience engaging with trade associations, coalitions, and state advocacy organizations, with the ability to translate legislative and regulatory language into business and operational impacts.

• Exceptional written and verbal communication skills, capable of simplifying complex policy and reimbursement topics into clear, actionable advice.

• Strong organizational abilities, adept at managing numerous priorities and extensive cross-functional initiatives in a fast-paced, matrixed environment.

• Willingness to travel 10% of the time.

• Advanced degree is preferred.

• J.D. degree is preferred.

• Advanced comprehension of healthcare provider revenue cycle functions, processes, and healthcare IT systems is preferred.

• Advanced knowledge of and direct engagement with MolDx, including Technical Assessment submissions, is preferred.

🏝️ Benefits

• Career advancement opportunities with a global company.

• Outstanding retirement savings plan featuring a substantial employer contribution.

• Comprehensive health and wellness benefits.

• Equal opportunity employer dedicated to fostering employee diversity.