Senior Reimbursement Analyst

This is a fully remote position, open to applicants in California, +4 more states.

📋 Description

• Assist in the market introduction of new products and the optimization of existing products by evaluating reimbursement requirements, risks, opportunities, and priorities.

• Offer guidance to product development, marketing, sales, regulatory, clinical, and business teams on reimbursement-related issues.

• Contribute insights on product strategy, indication expansion, evidence requirements, and readiness for launch.

• Assess reimbursement landscapes in the United States and pertinent international markets.

• Support product development, launches, indication expansions, and continual portfolio management.

• Collaborate with HEPR colleagues to identify and resolve coding, coverage, and payment challenges.

• Provide prompt assistance to both internal teams and external partners.

• Analyze Medicare regulations, policies from commercial payers, coding updates, and changes in reimbursement.

• Communicate implications and suggested actions to relevant stakeholders.

• Aid in formulating advocacy strategies and drafting comments for CMS and commercial payers.

• Spot opportunities to improve payment and access for Pain Interventions therapies.

• Develop and deliver training and educational content for sales representatives, physicians, case managers, medical directors, billing staff, and other stakeholders.

• Convert intricate clinical, technical, coding, coverage, and payment data into actionable information.

• Design and execute internal and external reimbursement communication strategies, tools, resources, and content.

• Leverage approved AI-enabled tools and automation to enhance research, synthesis, drafting, workflow efficiency, and uniformity.

• Collaborate with internal product development teams, patient access support services, field health economic teams, sales, and other cross-functional teams.

• Operate both independently and in collaboration with HEPR and cross-functional team members.

• Report to the Global Program Senior Director for the Pain Interventions business.

• Maintain a strong focus on detail when reviewing reimbursement information, data, policies, communications, and deliverables.

⛳️ Requirements

• A bachelor’s degree in health policy, health services, health economics, epidemiology, public administration, or a related field.

• An advanced degree is preferred.

• A minimum of 4 years of experience in medical device or pharmaceutical reimbursement, health economics, healthcare coding, market access, or a related field.

• A robust understanding of US reimbursement processes, coding, coverage, payment, and payer/provider interactions.

• Experience in supporting products or therapies at various commercialization stages, including new-product launches, market development, and legacy-product optimization, is preferred.

• Capability to analyze complex data and convert technical or specialized content into clear, concise, and actionable information for non-experts.

• Exceptional attention to detail and a commitment to accuracy, consistency, and quality.

• Ability to prioritize and manage multiple projects simultaneously.

• Independent decision-making and collaboration across functions.

• Familiarity with approved AI tools, automation, and digital productivity technologies.

• Judiciousness in validating AI outputs and using tools responsibly and in compliance.

• Comfort in working virtually through collaborative tools.

• Unrestricted U.S. work authorization at the time of hire and for the duration of employment.

• For degrees obtained outside the United States, a degree that meets the criteria of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.

🏝️ Benefits

• Short-term incentive through the Medtronic Incentive Plan (MIP).

• Health insurance.

• Dental insurance.

• Vision insurance.

• Health Savings Account.

• Healthcare Flexible Spending Account.

• Life insurance.

• Long-term disability leave.

• Dependent daycare spending account.

• Tuition assistance/reimbursement.

• Simple Steps global well-being program.

• Incentive plans.

• 401(k) plan with employer contribution and match.

• Short-term disability.

• Paid time off.

• Paid holidays.

• Employee Stock Purchase Plan.

• Employee Assistance Program.

• Non-qualified Retirement Plan Supplement.

• Capital Accumulation Plan for Vice Presidents and above or subject to IRS earning minimums.

• Paid sick time for temporary employees as mandated by applicable state law.

• Flexible benefits package.

• Remote work arrangement.