Principal Reimbursement Analyst - PVH (Finance)

We anticipate the application window for this opening will close on - 23 May 2025

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

A Day in the Life
The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish reimbursement for innovative new products and therapies. This position is in the Peripheral Vascular Health (PVH) Operating Unit (OU), with the opportunity to be one of the fastest growing operating units within Medtronic. The PVH product portfolio contains innovative endovascular treatments for the peripheral vasculature (arteries and veins) that significantly improve the quality of life for patients. These include treatments and therapies for peripheral artery disease, carotid artery occlusions, peripheral embolization, deep venous disease, and superficial venous disease.

The Reimbursement Principal Reimbursement Analyst will serve in a highly visible and impactful role as a member of the Peripheral Vascular Health business' Health Economics, Policy and Reimbursement (HEPR) team.

This role will drive the US launch and global implementation of comprehensive HEPR strategies for the Peripheral Vascular Health portfolio, focusing on innovative treatments for peripheral arterial and venous disease. The individual will act as a business partner to the cross-functional teams within the PVH OU to drive our customer engagement and support, and to advance our strategic reimbursement initiatives. This individual will develop and communicate OU and therapy-specific reimbursement strategy for the US, including all considerations for coding, coverage, and payment for government and private payers and supporting reimbursement needs through a product lifecycle. This role will coordinate with other HEPR colleagues to serve as a central functional contact for collaborating and educating cross-functional colleagues, business leadership, sales force, and customers. This position requires the ability to think creatively and learn quickly to craft innovative reimbursement solutions in a rapidly evolving business environment. Strong cross-functional experience and communication and project management skills are also critical to success in this role.

In addition to US-focused work, this role will collaborate with regional and global reimbursement and market access colleagues to understand and develop comprehensive reimbursement strategy.

The position will require occasional travel; volume will be dependent on business needs and candidate's location.

Role and Responsibilities:

• Develops and implements reimbursement strategies and programs for existing and new therapy expansions and indications to obtain coding, coverage, payment, and funding, in collaboration with global colleagues. Collaborates with cross functional partners (marketing, regulatory, legal, R&D, clinical, medical science, corporate and global reimbursement counterparts) and business leaders on U.S. reimbursement strategies and programs, health economics, evidence strategy, and health policy. This may include direct interactions with payers and other related entities to gain reimbursement for Medtronic therapies. May directly engage with payers, physicians, HTA agencies, and other related entities to gain reimbursement/funding for Medtronic therapies.
• Leads U.S. launch customer engagement on HEPR topics. Creates and delivers training and education programs to sales force, physicians, medical directors, billing personnel, distributors, and other external stakeholders, and ensures other trainers are supported and educated appropriately. Develop and deliver educational programs and presentations related to reimbursement topics. Contribute to reimbursement education programs to internal and external audiences.
• Drives and owns the development and maintenance of reimbursement tools to be used by reimbursement colleagues and sales partners (coding sheets, economic models, evidence dossiers, etc.).
• Represents the HEPR functional perspective and provides input to product development teams, clinical study teams, marketing, sales, regulatory, clinical, medical science, and other business leaders.
• Partners closely with in-country and business unit teams understand and develop localized health economic and reimbursement value stories for Medtronic therapies to drive reimbursement strategies.
• Works closely with Health Economics and Outcomes Research team to evaluate the economic impact of the use of therapies/products on payers, including the government.
• Creates and executes comprehensive market access strategies through the integration of U.S. reimbursement mechanisms and policies, pricing, health technology assessment, evidence-based medicine review, and health economic modeling activities.
• Serves as subject matter expert for internal and external customers regarding coding, coverage and payment associated with PVH products and therapies. Serve as point of contact for incoming questions and inquiries regarding coding, coverage and payment from field sales, field reimbursement, and external physician and hospital providers. Leverage coding and billing expertise to engage in chart reviews, in accordance with compliance policies.
• Leads the development and maintenance of coding, coverage, and payment information and tools that support customer understanding and education. Develop proactive solutions (tools, FAQs, etc.) that facilitate customer understanding and education. Partner with other team members and the US Regional Economic Managers on critical coding, coverage and payment hospital focused messages and development of tools and customer resources.
• Provides therapy and product-specific support and analysis to the field in the areas of US reimbursement rules and regulations for commercially released products in PVH. Maintain a comprehensive knowledge of the rules and regulations of CMS as well as major commercial payers.
• Reviews and understands U.S. reimbursement and payment systems, including Medicare payment systems, payer coverage policies, claims data sets, and sources of U.S. health data.
• Partners with industry stakeholders and physician societies in the development and implementation of reimbursement strategies and to complete market access submissions.
• Identifies payer opportunities and issues and implements programs to resolve/decrease barriers to entry for the company's products or therapies.
• Stays actively informed on US, global, and regional reimbursement trends and payment policy changes to proactively identify opportunities & risks to market entry, and to inform and evolve reimbursement strategy.
• Creates and manages interactive dashboards, reports, and similar content.
• Functions confidently in a matrixed, complex organization to assess, recommend, and implement solutions, and is comfortable in fast-moving business environments. Works comfortably and adeptly with colleagues across multiple geographic settings, virtual and office-based, and with a variety of business functions.

Expected travel: approximately 10-15%. Position can be based remotely with occasional travel for team meetings, meeting with customers, and external conferences.

Must Have - Minimum Qualifications:

To be considered for this role, please ensure the minimum requirements are evident in your applicant profile.

• Bachelor's degree and minimum of 7 years experience in health policy, reimbursement, health economics, health services research
• Or an advanced degree with a minimum of 5 years experience in health policy, reimbursement, health economics, health services research

Nice To Have:

• Advanced degree (MPH, MS, MHA, MBA, PhD) or post-graduate training in health policy, health services research, economics, biostatistics, epidemiology, public administration, health sector management, or a related discipline
• One or more of the following coding credentials: RHIA, CCS, CCS-P, CPC, CCC, or CIRCC
• 5+ years device or pharmaceutical industry experience, or experience in payer/provider/ health system healthcare economics and reimbursement
• Knowledgeable in U.S. hospital-based medical device reimbursement, including U.S. healthcare coding (HCPCS/CPT, ICD-10), Medicare payment systems, and Medicare and U.S. commercial payer coverage processes
• Familiar with health economic methods, including payer-focused evidence development, cost-effectiveness analyses and budget impact models
• Project management experience leading large projects or processes, initiatives, and cross-functional teams with results orientation, quality orientation, proactive, with attention to detail, in a variety of situations of varying ambiguity
• Ability to work effectively and collaboratively across cultures in a global organization
• Ability to independently coordinate and prioritize multiple projects simultaneously
• Experience leading change management or process improvement initiatives
• Demonstrated ability to strategically apply technical knowledge to a variety of business situations and to translate across various functional groups
• Demonstrated influence management skills and ability to work effectively in a complex, matrixed organization
• Demonstrated experience with evidence development, assessment, or synthesis
• Able to work independently and as part of a team to proactively solve problems and drive work forward, performing with limited oversight and supervision
• Excellent verbal and written communication and presentation skills to all levels of the organization
• Able to apply strong analytical skills to learn quickly, identify opportunities, and solve problems of varying ambiguity
• Strong results orientation, quality orientation, proactive, with attention to detail, in a variety of situations of varying ambiguity
• Demonstrated experience collaborating effectively with colleagues across multiple geographic settings, virtual and office-based, and with a variety of business functions.
• Highly motivated and capable of comprehending large amounts of technical content, which is then communicated in a clear, concise fashion
• Advanced presentation and computer skills
• Skilled with analytical tools (e.g., PowerBI, Tableau), CRMs (e.g., Salesforce)

Physical Job Requirements

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role.

Benefits & Compensation

Medtronic offers a competitive Salary and flexible Benefits Package
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.

Salary ranges for U.S (excl. PR) locations (USD):$138,400.00 - $207,600.00

This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).

The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others).

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: 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 , and Simple Steps (global well-being program).

The following benefits and additional compensation are available to all regular employees: 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) , and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).

Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico.

Further details are available at the link below:

Medtronic benefits and compensation plans

About Medtronic

We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary.

Learn more about our business, mission, and our commitment to diversity here .

It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.