Senior Manager, State Laws & Reimbursement-remote

Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world’s most important health challenges. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global scale and deep expertise, you’ll have the opportunity to do meaningful work, grow your career and make a real impact on people’s health around the world. Together, we’re improving health and improving lives.

Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives.

Labcorp is seeking a REMOTE Senior Manager, State Laws and Reimbursement Leader to join our team!

Work Schedule: Monday – Friday; 8:00am-5:00pm EST

The Senior Manager, State Laws & Reimbursement is responsible for monitoring, interpreting, and assessing state legislative and regulatory requirements that impact laboratory services, payer policy, billing, and reimbursement.

This role will serve as a subject matter expert on state laws and regulations affecting laboratory reimbursement and will evaluate the potential business and operational impact of these changes. The Senior Manager will partner across Payor Policy, Legal, Compliance, Government Affairs, Revenue Cycle, and other internal stakeholders to help ensure the organization understands and appropriately responds to evolving state requirements and leads a team to help facilitate communication of changes impacting policy, billing, and reimbursement to internal stakeholders.

The ideal candidate is an attorney with strong healthcare regulatory experience, understanding of the clinical laboratory industry, a working knowledge of payer policies, reimbursement, and managing a team.

Key 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.
• Identify emerging state legislative and regulatory trends that may create reimbursement opportunities, risks, or operational impacts.
• Partner with Legal, Compliance, Government Affairs, Payor Policy, Revenue Cycle, and business leaders to develop appropriate responses to new or changing state requirements.
• Support efforts to identify discrepancies between payer policies or reimbursement practices and applicable state requirements.
• Translate complex legal and regulatory information into clear, actionable guidance for business and operational teams.
• Develop summaries, analyses, and executive-level communications regarding significant state legislative and regulatory developments.
• Maintain an organized framework for tracking state requirements and changes that affect laboratory reimbursement.
• Support strategic initiatives related to payer policy, reimbursement, and regulatory changes affecting laboratory services.

Minimum Qualifications:

• 5+ years of relevant experience with Bachelor’s degree or 7 years relevant experience with Associates degree.

Preferred Qualifications:

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• 2+ years experience within the clinical laboratory, diagnostic, pathology, genetic testing, or broader healthcare industry
• Juris Doctor (JD) degree from an accredited law school.

2+ years in Medicaid Reimbursement.

• 2+ years working knowledge of the laboratory revenue cycle.
• 2+ years experience interpreting healthcare laws, regulations, and regulatory guidance.
• 2+ years experience with Medicare, Medicaid and commercial payer policy, healthcare reimbursement, managed care, or revenue cycle.
• Strong understanding of the relationship between regulatory requirements, payer policies, reimbursement, and healthcare operations.

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