Remote Senior Manager, Market Access & Policy Strategy

Thornton Tomasetti; United States; Remote; USD 129,000 - 259,000; Full time

Job summary

Abbott is seeking a Senior Manager, Regulatory & Market Access Strategy, to advise on regulatory, reimbursement, and health policy for cancer diagnostics. You will guide coding, coverage, and payment strategies for pipeline and on-market products, coordinating with commercial and laboratory teams to ensure patient access and market success.

The role requires extensive experience with U.S. healthcare policy, Medicare rules, PAMA, and MolDx, and involves leading cross-functional efforts across

Qualifications

• Bachelor’s degree in a relevant field aligned with the essential duties; advanced degree preferred.
• 8+ years of experience advising healthcare organizations on legal, regulatory, and strategic matters related to government and commercial insurance coverage, billing and reimbursement, fraud, waste and abuse, provider licensing, and patient or consumer protection.
• 5+ years of experience advising CLIA laboratories on legal and/or Market Access strategy matters related to diagnostics.
• Advanced knowledge of official healthcare billing and coding guidelines, including requirements from CMS and other agencies within the U.S. Department of Health and Human Services (HHS).
• Basic knowledge of the Medicare Molecular Diagnostics (MolDx) program.
• Demonstrated experience engaging with trade associations, coalitions, and state advocacy groups and translating legislative and regulatory language into business and operational impact.
• Excellent written and verbal communication skills, with the ability to distill complex policy and reimbursement issues into clear, actionable recommendations for stakeholders and senior leadership.

Responsibilities

• Serve as a strategic advisor on coding, coverage, and payment strategy for pipeline and on-market products, assessing competitive positioning, reimbursement risks and opportunities, and translating requirements into actionable guidance for commercial, field, laboratory, and operational teams.
• Lead and support operational implementation of reimbursement requirements, including ADLT collection and reporting, new coverage mandates, and state biomarker, cancer screening, and other applicable coverage laws; partner across Market Access, Revenue Cycle, Laboratory Operations, and other functions to resolve systemic reimbursement, billing, and payer-performance issues and optimize appeal strategies.
• Serve as a subject-matter expert on federal and state health policy and reimbursement issues affecting laboratory diagnostics, including Medicare Part B payment, PAMA, laboratory regulation, prior authorization, coverage mandates, CMS policy and rulemaking, and the broader coding, billing, coverage and reimbursement environment.
• Monitor legislative, regulatory, and payer-policy developments; translate changes into business implications, risks, opportunities, and recommended actions; and lead or coordinate cross-functional responses, executive communications, company positions, regulatory comments, and other agency submissions.
• Represent ACD in trade associations, coalitions, and advocacy organizations to help develop and advance policy positions that support patient access and the ACD portfolio, while maintaining current expertise in emerging reimbursement requirements, industry trends, and market-access practices.

Skills

Regulatory strategy

Market access

Reimbursement strategy

Policy analysis

Stakeholder management

Communication skills

Cross-functional leadership

Regulatory affairs

Education

Bachelor's degree

J.D. degree

Tools

MolDx program

Job description

Abbott is seeking a Senior Manager, Regulatory & Market Access Strategy, to advise on regulatory, reimbursement, and health policy for cancer diagnostics. You will guide coding, coverage, and payment strategies for pipeline and on-market products, coordinating with commercial and laboratory teams to ensure patient access and market success.

The role requires extensive experience with U.S. healthcare policy, Medicare rules, PAMA, and MolDx, and involves leading cross-functional efforts across