[Hiring] Health Economics Manager @Medtronic

Role Description

Medtronic ENT is seeking a Health Economics Manager to partner with sales teams, healthcare providers, and decision-makers to drive acceptance and sustained use of its ENT therapies. The role serves as a reimbursement and health economics expert, evaluating financial and policy factors that affect therapy adoption across hospitals, ambulatory surgery centers, and physician practices.

Responsibilities will include but are not limited to:

• Reimbursement Tools & Materials
  • 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.
• Reimbursement and Access Support
  • 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 the 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.
• Field Education and Relationship Management
  • Partner with sales, marketing, and clinical teams to ensure a seamless customer experience and compliance.
  • Deliver in-person and virtual reimbursement workshops and policy update sessions.
• Cross-Functional Collaboration
  • 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 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).
• Master’s Degree in business, healthcare, health policy, or related field (Nice to Have).
• Work experience directly related to the payer or healthcare provider decision makers (C-suite, administration, director-level) physicians, private practice managers (Nice to Have).
• Experience developing and implementing strategic relationships and concepts with key influencers, utilizing business and financial measures with economic modeling (Nice to Have).
• Experience creating and giving presentations (Nice to Have).
• Experience in effectively influencing and selling (Nice to Have).
• Knowledge and/or experience negotiating payer/provider contracts (Nice to Have).
• Experience building strong cross-functional partners (Nice to Have).
• 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.

Requirements

• Must be located in Texas.
• This position is remote to enhance competitive edge and expand cross-functional collaboration.
• This role will require 50-75% of travel to enhance collaboration and ensure the successful completion of projects.

Benefits

• 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).