Associate Manager, Clinical Trial Reimbursement

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. Youll 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 bachelors 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

Our medical devices help more than 10000 people have healthier hearts improve quality of life for thousands of people living with chronic pain and movement disorders and liberate more than 500000 people with diabetes from routine fingersticks.

The Associate Manager of Clinical Trial Reimbursement is responsible for implementing and managing clinical trial reimbursement processes to secure Medicare and private payer reimbursement for designated clinical trials. This position will operate with limited day-to-day direction and at a high technical level to provide support to internal and external customers for Clinical Trial Reimbursement (CTR).

What Youll Work On

• Review clinical investigative plan and payer policies (Medicare Medicare Advantage Medicaid and Private Payer) to provide coverage and reimbursement guidance for Investigational Device Exemption (IDE) Post Approval Study (PAS)/Post Market Study (PMS) Coverage with Evidence Development (CED) and any other Abbott sponsored trials designated for reimbursement across all therapy lines: Cardiac Rhythm Management Electrophysiology Heart Failure Neuromodulation Structural Heart and Vascular.
• Review analyze for risk as needed and provide guidance and alternative approaches with Clinical Trial Agreements (CTA) and Informed Consent Forms (ICF) that support IDE PAS/PMS and single-site clinical trials.
• Create study-level Medicare Coverage Analysis inclusive of coding and reimbursement recommendations to support budget creation of Abbott sponsored clinical research studies.
• Create study-specific reimbursement materials and oversees the preparation of study reimbursement documentation for distribution to IDE clinical study sites.
• Contribute to policy discussions and provide summary analysis for coverage requirements at national local and payer specific coverage.
• Monitor and track payer policies to inform key stakeholders of coverage developments that affect existing and future clinical trials.
• Assist sites with Medicare Medicare Advantage Medicaid and Private Payor prior authorization pre-determination and appeal requests for subjects participating and enrolled in Abbott sponsored clinical trials.
• Assist sites with claim submission and appeal processes and other related matters requiring a specialized knowledge of Medicare Medicaid and Private Payer reimbursement procedures and requirements.
• Heavy coordination with other internal teams including Healthcare Economics Clinical Operations Clinical Data Science and Analytics Marketing Regulatory Legal Clinical Affairs Research and senior management to develop and communicate recommendations regarding clinical trial reimbursement issues and implications on technology-specific US reimbursement.
• Ensure reimbursement and compensation processes adhere to company standards policies and compliance.
• Data analysis utilizing Medicare data procedure codes hospital payment codes and other claims data.
• Basic understanding of clinical trial categorizations not limited to IDE studies PM and categorization of A and B categorization by FDA.
• Remain current on developments in field(s) of expertise applicable clinical requirements and regulatory restrictions; and a demonstrated knowledge of the companys products markets policies and objectives as well as industry trends. Maintains practical knowledge of current reimbursement practices.

Required Qualifications

• Bachelors degree or an equivalent combination of education and work experience
• 3 years related work experience

Preferred Qualifications

• Bachelors Degree in a relevant field such as public health or health economics.
• Five years of Medical Device company experience or relevant systems experience in a hospital/university environment.
• Knowledge of federal state and industry rules and regulations governing technical aspects of reimbursement and compliance.
• Experience with US reimbursement that includes working knowledge of coding Diagnostic Related Group (DRG) assignments Ambulatory Payment Classification (APC) categorization and process.
• Ability to understand complex disease states and technical product information.
• Strong project management and prioritization skills with the ability to manage several projects simultaneously.
• Excellent oral and written communication skills with the ability to effectively communicate at multiple levels in the organization.
• Ability to perform under pressure and in a fast-paced dynamic environment.
• High degree of initiative motivation and passion for the business.
• Excellent interpersonal skills and strong strategic management skills.
• Ability to work direct and take direction with all levels of management.
• Ability to perform in a diverse cross-functional team environment.
• Advanced personal computer skills including experience with Microsoft Office.
• Experience in international reimbursement a plus.

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

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The base pay for this position is

In specific locations the pay range may vary from the range posted.

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Manager