Sr. Manager Market Access 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

Company Overview

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 122,000 colleagues serve people in more than 160 countries.

You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.


• An excellent retirement savings plan with a high employer contribution.


• A company recognized as a great place to work in dozens of countries worldwide 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 the best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This is a remote position within Abbott Cancer Diagnostics. Abbott’s Cancer Diagnostics business was established through the acquisition of Exact Sciences’, bringing together Abbott’s global diagnostics leadership with Exact Sciences’ expertise in cancer screening and diagnostic testing. Together, we’re advancing the early detection of cancer and improving outcomes for patients through innovative, accessible testing solutions.

Our combined portfolio and reach allow us to bring life-changing diagnostic technology to more patients, providers, and health systems worldwide.

Role

As the Senior Manager, Regulatory & Market Access Strategy, you’ll have the chance to serve as a strategic advisor on the regulatory, reimbursement, and health policy environment affecting ACD’s cancer screening and diagnostic portfolio, helping leaders navigate complex policy requirements and protect patient access.

What You’ll Work On

• 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 Advanced Diagnostic Laboratory Test (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.

Required 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.


• Experience 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.


• Strong organizational skills with the ability to manage multiple priorities and large cross-functional initiatives in a fast-paced, matrixed environment.

Preferred Qualifications

• J.D. degree.


• Advanced understanding of healthcare provider revenue cycle functions, processes, and healthcare IT systems.


• Advanced knowledge of and experience engaging directly with MolDx, including submissions of Technical Assessments.

Salary

The base pay for this position is $129,300.00 – $258,700.00. In specific locations, the pay range may vary from the range posted.

Job Details

Location: United States of America : Remote

Additional Locations: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL SURVEILLANCE: No SIGNIFICANT WORK ACTIVITIES: Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday)

Equal Opportunity Employer statements

Abbott is an Equal Opportunity Employer, committed to employee diversity.

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.

EEO is the Law link – English: http://webstorage.abbott.com/common/External/EEO_English.pdf

EEO is the Law link – Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

Company Culture

Abbott is about the power of health. For more than 135 years, Abbott has been helping people reach their potential because better health allows people and communities to achieve more. With a diverse, global network serving customers in more than 160 countries, we create new solutions across the spectrum of health, around the world, for all stages of life. Whether it’s next-generation diagnostics, life-changing devices, science-based nutrition, or novel reformulations, we are advancing some of the most innovative and revolutionary technologies in healthcare, helping people live their best lives through better health.

The people of Abbott come to work each day with relentless energy, enthusiasm and a promise to enhance the health and well-being of millions of people. They push the boundaries to help manage and treat some of life’s greatest health challenges.

We invite you to explore opportunities at Abbott, to see if your talents and career aspirations may fit with our openings. An equal opportunity employer, Abbott welcomes and encourages diversity in our workforce.