Not specified (assumed to be hybrid based on industry norms).
Commercial payor contracting management
State licensing and cms enrollments
The joint commission accreditation oversight
Abbott is seeking a Director of Payor Relations & Regulatory Affairs to lead strategies that maintain and expand payor coverage while ensuring compliance with regulatory standards. The ideal candidate will have extensive experience in payor contracting and regulatory affairs within the healthcare sector
Job Summary
This role is accountable for developing strategies to maintain and expand payor coverage across all lines of business at Acelis Connected Health.
The position requires overseeing essential activities related to commercial payor contracting, state licensing, and Medicare/Medicaid enrollments.
Candidates must have a Bachelor's degree and over 10 years of relevant experience in payor contracting within the healthcare sector.
Matching Summary
Match Score: 85
Abbott is seeking a Director of Payor Relations & Regulatory Affairs to lead strategies that maintain and expand payor coverage while ensuring compliance with regulatory standards. The ideal candidate will have extensive experience in payor contracting and regulatory affairs within the healthcare sector.
Salary
Base: $172,000.00 – $344,000.00; Bonus/Equity: Not specified; Benefits: Free coverage in HIP PPO medical plan for wellness assessment participants
Skills & Requirements
Must-have
Commercial payor contracting management
State licensing and CMS enrollments
The Joint Commission accreditation oversight
Contract redlining and credentialing processes
Payment discrepancy resolution and escalation
Nice-to-have
Experience in DME/IDTF provider space
Strong cross-functional stakeholder engagement
Ability to develop KPIs and metrics
Patient access and pricing strategy input
Medicaid advocacy experience
Key Requirements
Bachelor's Degree in business discipline
10+ years relevant experience in payor contracting
5+ years directly interacting with regulatory agencies
Demonstrated ability to monitor commercial contracting processes
Ability to work independently managing competing priorities