Regional Reimbursement Economic Consultant at Medtronic

California, Kentucky, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical Devices, NeuroscienceIndustries

Requirements

Ability to work independently with sales teams, healthcare providers, and payers
Expertise in reimbursement, coding, and coverage (e.g., HCPCS, CPT, ICD-10 codes, modifiers, documentation requirements)
Knowledge of Medicare, Medicaid, and commercial payer coverage policies and prior-authorization requirements
Willingness to travel to enhance collaboration and complete projects
Location within the United States (100% remote position)

Responsibilities

Provide input and assist in developing reimbursement materials and tools for customers (physicians, coding staff, administrators) and field sales teams
Identify educational needs of priority accounts and deliver training and education on coding, billing, and reimbursement using approved Medtronic tools
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 in alignment with Sales leadership to minimize or eliminate coding, coverage, and payment barriers
Serve as the primary field-based expert for reimbursement, coding, and coverage
Educate administrators, billing managers, and healthcare providers on correct use of codes, modifiers, and documentation requirements
Support customers in navigating payer coverage policies and prior-authorization requirements
Provide one-on-one and group support to resolve access barriers and integrate reimbursement processes for sustainable adoption of Medtronic products

Skills

Key technologies and capabilities for this role

ReimbursementHealth EconomicsCodingCoveragePayer NegotiationsHealthcare PolicyStrategic PlanningNeuroscience TherapiesSales SupportMarket Access

Questions & Answers

Common questions about this position

Is this position remote?

Yes, this is a 100% remote position for candidates within the United States, though some travel is required to enhance collaboration and complete projects.

What is the salary or compensation for this role?

This information is not specified in the job description. Medtronic offers a wide range of benefits and rewards programs, with more details available at the bottom of the job description.

What are the main responsibilities of this role?

The role involves partnering with sales teams, healthcare providers, and payers to increase adoption of neuroscience products, developing strategic reimbursement initiatives, addressing coding, coverage, and reimbursement issues, and providing expert support to ensure patient access.

What is the company culture like at Medtronic?

Medtronic emphasizes purpose, commitment, and innovation driven by their Mission to alleviate pain, restore health, and extend life, with a focus on putting patients first, bold ideas, speed, decisiveness, and cross-functional collaboration.

Who does this role report to?

This role reports to the Director, Reimbursement and Health Economics for the Neurosciences.

Medtronic

Develops and manufactures medical devices and therapies

About Medtronic

Medtronic provides medical technology, services, and solutions to improve patient care. The company develops a variety of medical devices, including pacemakers, insulin pumps, surgical tools, and neurostimulation devices, which help diagnose, prevent, and treat chronic diseases. These products are used by hospitals, clinics, and healthcare professionals around the world. Medtronic stands out from competitors by investing significantly in research and development to create new products and offering additional services like training and patient management programs. The goal of Medtronic is to enhance patient outcomes and lower healthcare costs through its comprehensive range of medical solutions.

Fridley, MinnesotaHeadquarters

1949Year Founded

$3.2MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Sick Leave

Paid Holidays

401(k) Retirement Plan

401(k) Company Match

Employee Stock Purchase Plan

Employee Assistance Program

Wellness Program

Risks

Emerging competitors like Fire1 threaten Medtronic's heart failure management market share.

Spine biologics market growth may attract new entrants, increasing competition for Medtronic.

Recent IPOs in medtech indicate rising competition, challenging Medtronic's market position.

Differentiation

Medtronic's diverse product range spans cardiovascular, diabetes, neurological, and surgical technologies.

The company invests heavily in R&D to drive innovation in medical devices.

Medtronic offers comprehensive services, including training and technical support, enhancing product value.

Upsides

Exclusive deal with Kuros enhances Medtronic's orthopedic portfolio and market share.

Growing spine biologics market offers expansion opportunities in spinal fusion and regenerative medicine.

Balloon catheters market growth aligns with Medtronic's recent product launches, boosting cardiovascular presence.

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