6 days old

Reimbursement Analyst

Mounds View, MN 55112
  • Job Code

Our Cardiac Rhythm Management Integrated Operating Unit offers devices and therapies that treat patients with abnormal heart rhythms and heart failure. It is comprised of four key businesses: Cardiac Pacing Therapies, Defibrillation Solutions, Patient Management, and Procedure Innovations. Together, we will transform the lives of people with cardiac arrhythmias and heart failure.

Join a diverse team of innovators who bring their worldview, their unique backgrounds, and their individual life experiences to work every day. It's no accident -we work hard to cultivate a workforce that reflects our patients and partners. We believe it's the only way to drive healthcare forward and remain a global leader in medical technology and solutions.

Careers that Change Lives

The Reimbursement Analyst is a highly impactful role to support the success of reimbursement and health policy strategies and execution for all Cardiac Rhythm businesses. The Reimbursement Analyst will work with a wide set of internal and external stakeholders to help plan and implement strategies to gain funding and reimbursement for our life-changing therapies will provide critical input into developing global reimbursement strategies and providing critical input in the planning and designing of the studies to ensure payer, governmental, societal and other critical partners and stakeholder requirements are met.

Under the direction of the Reimbursement Director and in partnership with other Business Unit leads, this role will focus on execution of reimbursement strategy and optimization. The role will provide an early analysis of global evidence requirements, articulation of the current reimbursement landscape and strategic path forward for successful reimbursement at launch and beyond. The Reimbursement Analyst will collaborate with EV team and market access colleagues to access the landscape and opportunities in a fee for service and alternative payment models to support and establish optimal reimbursement. Additionally, the Reimbursement Analyst will support the development of economic value strategies and reimbursement plans supporting both pipeline and new market opportunities within the CRHF Business units.

The Reimbursement Analyst is accountable for informing and educating Cardiac Rhythm leadership, Business Units, Strategy Teams and Field Teams such as REMs and the DSS team of the coding, coverage and payment strategies and execution. This position is also responsible to understand and articulate how reimbursement, the health care environment and VBHC initiatives directly related to CRHF businesses and their products as well as to our hospital, physician, and payer stakeholders.

A Day in the Life

  • Develops and implements reimbursement strategies and programs to obtain coverage, coding and payment from payer/providers.
  • Provides reimbursement-related advice to product development teams, marketing, sales, regulatory, clinical and business leaders.
  • Ensure appropriate reimbursement, health economics and policy analyses and perspectives are integrated into business plans
  • Identifies payer opportunities and issues and implements programs to resolve/decrease barriers to entry for the company's products or therapies.
  • Works closely with Health Economics and Outcomes Research staff to evaluate the economic impact of the use of therapies/products on payers, including the government.
  • Develops strategic relationships with professional societies, medical associations, advocacy groups, thought leaders to provide leadership and focus in areas of mutual interest including physician reimbursement, treatment guidelines, coding, coverage and payment.
  • May create training and deliver education programs to sales force, physicians, home care agencies, case managers, hospital CFO's, medical directors, billing personnel, and pharmacists in clinics and hospitals.

Must Have; Minimum Requirements

  • Bachelor's degree
  • Minimum of 2 years of reimbursement or health policy related experience, or advanced degree with a minimum of 0 years of reimbursement or health policy related experience

Nice To Have

  • Demonstrated knowledge of Medicare, health insurance policies, and payer/provider procedures.
  • Basic understanding of reimbursement systems in major European and Asian countries
  • Proven knowledge and execution of US coverage, coding and payment strategy and tactics.
  • Works independently and demonstrates an ownership in work; acting under little direction towards predetermined long-range goals and objectives.
  • Proficient knowledge in word processing, spreadsheets, and/or database applications (e.g. MS Word and Excel).
  • Advanced degree in health policy, health services research, economics, or related discipline.
  • Understanding of global dynamic health care environment
  • Demonstrated ability to work with key US stakeholders - societies, CMS, private payers, political groups, etc.
  • Ability to maintain proactive relationship with payers, providers, and government agencies
  • Demonstrated use of business and financial measures and the impact on reimbursement issue resolution.
  • Demonstrated ability to understand and educate customers on the impact of reimbursement requirements and pathways and the need to develop practical solutions.
  • Strong project management skills and excellent track record in effective collaboration in the matrix environment
  • Excellent communication and presentation skills -- written and verbal.
  • Certified professional coder.

About Medtronic
Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Let's work together to address universal healthcare needs and improve patients' lives. Help us shape the future.

Physical Job Requirements

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. (ADA-United States of America)

A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Learn more about our benefits: benefits.medtronic.com

This position is eligible for a short-term incentive plan. Learn more about Annual Salary and Medtronic Incentive Plan (MIP) on Page 6 here .

Additional Information

  • Posting Date: Nov 19, 2021
  • Travel: No

Posted: 2021-11-21 Expires: 2021-12-20
Sponsored by:
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Sponsored by:
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Mounds View, MN 55112

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