[Hiring] Health Economic Manager @Medtronic

Role Description

As one of three comprehensive portfolios at Medtronic, Neuroscience is dedicated to improving the lives of people living with neurological disorders, spine conditions, and chronic pain. Guided by our Mission—to alleviate pain, restore health, and extend life—we develop technologies and therapies that help people regain function, reduce pain, and return to the activities that matter most.

In this role, you will report to the Director, Reimbursement and Health Economics for the ENT portfolio. You will work independently with the sales teams and healthcare providers to help ensure patient access to Medtronic ENT Therapies. The Health Economic Manager is responsible for contributing to the development and execution of strategic reimbursement initiatives that improve patient and market access to Medtronic’s products.

This highly visible role will work with internal and external customers at the field level on strategic coding, coverage, and reimbursement issues. This position plays a key role in supporting patient access to our therapies and devices by providing expert reimbursement and access support to our healthcare providers (physicians, hospitals, and ambulatory surgery centers).

This role ensures that customers understand coverage, coding, and payment pathways; resolving access barriers; and helping facilities integrate appropriate reimbursement processes to support sustainable adoption across Medtronic’s portfolio of products.

Field-based (remote) health economics and reimbursement leader supporting Medtronic ENT’s West Region. Partners with sales teams and healthcare providers to improve patient access and adoption of ENT therapies by providing expert guidance on coding, coverage, payment pathways, and reimbursement strategy.

Responsibilities will include, but are not limited to:

• 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.
• Partner with sales, marketing, and clinical teams to ensure a seamless customer experience and compliance.
• Build and maintain strong relationships with administrators, billing leads, and payer representatives; ensure tracking through customer management systems.
• Deliver in-person and virtual reimbursement workshops and policy update sessions.
• 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.

Qualifications

• Bachelor’s degree required.
• Minimum of 10 years of relevant experience, or an advanced degree with a minimum of 8 years of relevant experience with medical device coding, coverage, and payment (reimbursement).

Requirements

• Live in a region that supports the MST or PST time zone.
• Master’s Degree in business, healthcare, health policy, or related field.
• Work experience directly related to the payer or healthcare provider decision makers (C-suite, administration, director-level), physicians, and 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

• Medtronic offers a competitive Salary and flexible Benefits Package.
• 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.
• 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).