Associate Manager, Clinical Trial Reimbursement at Abbott Pediatrics

Austin, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jan, 26

Salary

150700.0

Posted On

25 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Trial Reimbursement, Project Management, Data Analysis, Communication Skills, Interpersonal Skills, Regulatory Knowledge, Reimbursement Procedures, Healthcare Economics, Coding Knowledge, Risk Analysis, Policy Analysis, Technical Knowledge, Team Collaboration, Initiative, Motivation, Strategic Management

Industry

Hospitals and Health Care

Description

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. 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 Our medical devices help more than 10,000 people have healthier hearts, improve quality of life for thousands of people living with chronic pain and movement disorders, and liberate more than 500,000 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 You’ll 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 company's products, markets, policies and objectives as well as industry trends. Maintains practical knowledge of current reimbursement practices. Required Qualifications Bachelor’s degree or an equivalent combination of education and work experience 3 years’ related work experience Preferred Qualifications Bachelor's 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. 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 $75,300.00 – $150,700.00. In specific locations, the pay range may vary from the range posted.

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Responsibilities

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 includes reviewing clinical plans, providing guidance on reimbursement, and assisting sites with prior authorization and claims processes.