Senior Reimbursement Analyst

Posted 3 days ago

This is a fully remote position, open to applicants in California, +3 more states.

📋 Description

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

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

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

• Assess the reimbursement landscape in the United States and relevant international markets.

• Facilitate product development, launches, indication expansions, and management of the portfolio.

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

• Deliver prompt assistance to both internal teams and external stakeholders.

• Analyze Medicare regulations, commercial payer policies, coding trends, and reimbursement updates.

• Communicate the implications and suggested actions to relevant audiences.

• Support advocacy strategies and prepare comments for CMS and commercial payers.

• Identify ways to improve payment and access for Pain Interventions therapies.

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

• Convert complex clinical, technical, coding, coverage, and payment information into practical content.

• Create and execute internal and external reimbursement communications, tools, resources, and content.

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

• Safeguard confidential information, verify outputs, and adhere to relevant policies and regulations.

• Review reimbursement information, data, policies, communications, and deliverables with meticulous attention to detail.

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

• Work independently as well as collaboratively with HEPR and cross-functional teams to enhance patient access throughout the product lifecycle.


⛳️ Requirements

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

• At least 4 years of experience in medical device or pharmaceutical reimbursement, health economics, healthcare coding, market access, or a related area.

• Strong knowledge of US reimbursement processes, coding, coverage, payment, and payer/provider dynamics.

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

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

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

• Capacity to prioritize and manage multiple projects simultaneously.

• Independent decision-making abilities and a collaborative spirit.

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

• Sound judgment in validating AI outputs and using tools responsibly and in compliance.

• Comfortable with virtual collaboration through various tools.

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

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


🏝️ Benefits

• Medtronic Incentive Plan (MIP) for short-term incentives.

• Competitive benefits package.

• 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 matching.

• Short-term disability.

• Paid time off.

• Paid holidays.

• Employee Stock Purchase Plan.

• Employee Assistance Program.

• Non-qualified Retirement Plan Supplement.

• Capital Accumulation Plan for eligible employees.

• Flexible remote work arrangement.

• Reasonable accommodations for qualified individuals with disabilities.

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