Note: The job is a remote job and is open to candidates in USA. Medtronic is a global leader in healthcare technology with a mission to alleviate pain, restore health, and extend life. They are seeking a Principal Reimbursement Analyst to support reimbursement strategy and execution across their U.S. portfolio, particularly focusing on peripheral arterial disease, embolization, and superficial venous therapies. The role involves developing reimbursement tools, analyzing payer policies, and providing education to customers and sales teams.
Responsibilities
- Support HEPR activities on product development core teams and product launch teams, including launch readiness workstreams, cross-functional planning, evidence development activities, and reimbursement input for device and therapy strategy with specific emphasis on PAD, embolization, superficial venous programs
- Evaluate coding, coverage, and payment considerations for devices and therapies within the portfolio and develop analyses and recommendations that support therapy adoption and selected market expansion opportunities
- Develop and execute reimbursement analyses and recommendations that support reimbursement strategies for devices within the therapy portfolio, including assessment of coding, coverage, and payment considerations and selected market expansion needs tied to therapy adoption, in collaboration with U.S. and global colleagues
- Represent HEPR on clinical study teams; partner with therapy leads, global HEPR partners, and HEOR colleagues to identify reimbursement-related evidence needs and support evidence development planning
- Monitor commercial payer policy changes, track coverage criteria, analyze market trends, and develop analyses and materials that support therapy coverage strategy, payer engagement, and market access planning with particular focus on PAD, carotid, embolization and superficial venous therapies
- Analyze Medicare and U.S. health policy proposals, assess reimbursement implications, and support policy and advocacy activities, including development of draft comments and supporting materials for CMS and other stakeholders
- Provide direct support and education for U.S. customers and sales teams on coding, coverage, and payment needs, including compliant guidance on billing requirements, documentation, prior authorization, appeals, and payer process navigation, with emphasis on elevated customer support for prior authorizations and denials
- Develop and maintain reimbursement tools, guides, educational resources, and support materials used across therapies to support internal teams, sales partners, and customer reimbursement needs including payer submission packages, coverage landscape, value summaries and prior authorization toolkits
- Conduct and communicate reimbursement trend analysis, CPT, APC, and DRG payment modeling, coverage analysis, and other market access insights through reports, dashboards, summaries, and presentation materials, with heavy use of Excel, Power BI, and other analytic tools and lead market access analytics and payer analytics/modeling to support local implementation of coverage in partnership with sales operations and field teams, and support analysis of hospital and payer price transparency data assets to inform PVH payer engagement strategies and support creation of customer facing/market access tools
Skills
- Bachelor's degree
- Minimum 7 years of experience in reimbursement, health policy, health economics, health services research, or a related field
- Or an advanced degree with 5+ in reimbursement, health policy, health economics, health services research, or a related field
- Advanced degree such as MPH, MHA, MBA, MS, or PhD, or post-graduate training in health policy, health services research, economics, biostatistics, epidemiology, public administration, health sector management, or a related discipline
- Experience in the medical device, pharmaceutical, payer, provider, or health system environment
- Knowledge of U.S. medical device reimbursement, including coding, coverage, and payment concepts across Medicare and commercial payers
- Experience managing complex projects and working across cross-functional teams, with strong results orientation and attention to detail in ambiguous environments
- Strong analytical and problem-solving skills, with the ability to translate complex information into clear, practical recommendations and communicate key findings to internal stakeholders
- Knowledge of U.S. hospital-based medical device reimbursement, including healthcare coding, Medicare payment systems, and Medicare and commercial payer coverage processes
- Experience with reimbursement analytics, payment modeling, or market access insights
- Familiarity with evidence development, health economic concepts, or payer-focused value communication. Demonstrated ability to critically review clinical and economic literature/data
- Experience using advanced analytics, dashboards, or AI-enabled tools for policy and payer analytics
- Advanced Excel skills and experience using Power BI or similar analytic tools, with interest or experience in AI-enabled analytics (copilot) considered a plus
- Ability to work independently, manage multiple priorities, and move work forward with limited oversight in a matrixed and sometimes ambiguous environment
- Strong written, verbal, and presentation skills, with the ability to clearly communicate analyses, recommendations, and implications to the HEPR team and cross-functional stakeholders
- Experience working in a matrixed organization and supporting global cross-functional business initiatives
- Strong prioritization skills and the ability to manage multiple projects effectively
Benefits
- Medtronic Incentive Plan (MIP)
- 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)
- Paid sick time, as required under applicable state law (for temporary employees)
Company Overview
Company H1B Sponsorship