Remote Senior Manager, State Laws & Reimbursement Leader

Labcorp; North Carolina; Remote; USD 110,000 - 130,000; Full time

Benefits offered by this job

Annual bonus eligibility

Comprehensive benefits program (Health

401(k) with company match

Paid Time Off

Job summary

Labcorp seeks a REMOTE Senior Manager, State Laws & Reimbursement Leader to monitor, interpret, and assess state-based regulatory requirements impacting laboratory services, payer policy, billing, and reimbursement. You will oversee a team, collaborate with Legal, Compliance, Government Affairs, and Revenue Cycle, and translate complex state regulations into actionable guidance for internal stakeholders.

The ideal candidate is a healthcare regulatory attorney with deep knowledge of payer

Qualifications

• 5+ years of relevant experience with a Bachelor's degree or 7 years with an Associate degree.
• Experience interpreting healthcare laws, regulations, and regulatory guidance.
• Strong understanding of the relationship between regulatory requirements, payer policies, reimbursement, and healthcare operations.

Responsibilities

• Monitor and analyze proposed and enacted state legislation, regulations, and regulatory guidance affecting clinical laboratories, reimbursement, billing, coverage, and payer requirements.
• Mentor and guide a team providing training on complex scenarios and best practices.
• Manage a team responsible for State Medicaid Policy and Reimbursement Issues.
• Facilitating peer to peer discussions with Medical Directors and subject matter experts.
• Evaluate the reimbursement and operational implications of state-specific requirements and communicate potential impacts to appropriate stakeholders.
• Research and interpret state laws and regulations related to laboratory services, including requirements that may affect coverage, reimbursement, claims processing, prior authorization, medical necessity, billing, and patient access.
• Provide subject matter expertise to Payor Policy and Revenue Cycle teams regarding the intersection of state regulatory requirements and payer reimbursement policies.

Skills

Regulatory analysis

Payer policy knowledge

Billing and reimbursement

Leadership

Legal coordination

Regulatory compliance

Analytical communication

Education

Juris Doctor (JD)

Job description

Labcorp seeks a REMOTE Senior Manager, State Laws & Reimbursement Leader to monitor, interpret, and assess state-based regulatory requirements impacting laboratory services, payer policy, billing, and reimbursement. You will oversee a team, collaborate with Legal, Compliance, Government Affairs, and Revenue Cycle, and translate complex state regulations into actionable guidance for internal stakeholders.

The ideal candidate is a healthcare regulatory attorney with deep knowledge of payer