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Medtronic

Engineering the extraordinary

Health Economic Manager

ManagerManagerFull TimeRemoteLeadTeam 10,001+Since 1949H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

3 days ago

Salary

$133.6K - $200.4K / year

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

Health Economic Manager

Medtronic

• Provide input and assist in developing reimbursement materials and tools for customers (Physicians, Coding Staff, Administrators, etc.) and the field sales team. • Identify educational needs of priority accounts and use approved Medtronic tools to deliver relevant training and education on coding, billing, and reimbursement. • Develop a monthly report of provider activities, including regional trends and developments, to support quarterly updates to Senior Leadership. • Develop and implement reimbursement strategies and tactics aligned with Sales leadership to minimize or remove coding, coverage, and payment barriers for Medtronic products and therapies. • Serve as the primary field-based expert for reimbursement, coding, and coverage. • Educate administrators, billing managers, and healthcare providers on correct use of HCPCS, CPT, ICD-10 codes, modifiers, and documentation requirements. • Support customers in navigating Medicare, Medicaid, and commercial payer coverage policies and prior-authorization requirements. • Provide one-on-one and group training on prior authorization, claim submission, appeals, and payment processes. • Identify, triage, and resolve access barriers in collaboration with internal reimbursement support teams. • Identify key issues and trends with commercial and government payers; determine and implement appropriate solutions. • Conduct webinars for new and existing customers (frequency based on customer need) and track/report attendance. • Collaborate with Sales, Marketing, Medical Affairs, and Compliance teams. • Provide field insights on reimbursement trends and economic models as warranted. • Work with Marketing colleagues on strategies addressing the needs of key Government, Healthcare Agencies, and Commercial Stakeholders, influencing economic and policy decisions on product coding and reimbursement. • Participate in initiatives supporting new product launches and payment advocacy efforts. • Ensure compliance with corporate and regulatory requirements.

Job Requirements

  • Bachelor’s degree required.
  • Minimum of 7 years of relevant experience, or an advanced degree with a minimum of 5 years of relevant experience with medical device coding, coverage, and payment (reimbursement).
  • Work experience directly related to the payer or healthcare provider decision makers (C-suite, administration, director –level) physicians, private practice managers.
  • Experience developing and implementing strategic relationships and concepts with key influencers, utilizing business and financial measures with economic modeling.
  • Experience creating and giving presentations.
  • Experience utilizing effective influencing and sales skills.
  • Knowledge and/or experience negotiating payer/provider contracts.
  • Experience building strong cross-functional partners.
  • For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required.

Benefits

  • Health, Dental and 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 plus employer contribution and match
  • Short-term disability
  • Paid time off
  • Paid holidays
  • Employee Stock Purchase Plan
  • Employee Assistance Program
  • Non-qualified Retirement Plan Supplement (subject to IRS earning minimums)
  • Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)

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