Reimbursement Consultant, Endoscopy (REMOTE - Lafayette CO/Santa Clara CA)

    • Medtronic
  • Lafayette, CO
  • Posted 11 days ago | Updated 3 days ago

Overview

Remote
On Site
Full Time

Skills

Research and Development
Healthcare information technology
Artificial intelligence
Machine Learning (ML)
Business development
Due diligence
Product development
Policy analysis
Business plans
Risk analysis
Regulatory affairs
Medical devices
Technology assessment
Business administration
Analytical skill
Project management
Microsoft Office
Effective communication
Health care
Innovation
Leadership
Planning
Economics
FOCUS
Licensing
Acquisition
Policies
Strategy
Research
CPT
CMS
Collaboration
HTA
Legal
Marketing
Optimization
Operations
Mechanics
Training
Administration
Software development
SaaS
Dynamics
IMPACT
Editorial
Publications
Claims
Database
Microsoft Excel
Modeling
SAP BASIS
Management

Job Details

Join a diverse team of innovators who bring their worldview, unique backgrounds, and individual life experiences to work every day. It's no accident - we work hard to cultivate a workforce that reflects our patients and partners. We believe it's the only way to drive healthcare forward and remain a global leader in medical technology and solutions.

Medtronic's Endoscopy (ENDO) Operating Unit and its portfolio are expanding into innovative spaces including AI - artificial intelligence & machine learning, advanced surgical techniques including endoluminal surgery, ablation, stents, diagnostic imaging and tests - some with at home applications.

Careers That Change Lives

Using experience, ingenuity and innovation, the Reimbursement Consultant is responsible for providing leadership in the development, planning and execution of reimbursement and health economics strategies for targeted ENDO businesses. Key areas of focus will be products in the pipeline, currently on the market, evaluated in business development due diligence, licensing and acquisitions.

Under the direction of the Global Senior Director, Health Economics, Policy & Reimbursement, this role will lead the charge in developing strategy and tactical execution in areas including reimbursement, economic value research, agency submissions, tool development while leveraging best practice sharing across targeted regions. This position will be expected to provide input in the product development process (PDP) including analysis of regional evidence requirements, articulation of the reimbursement landscape and support of regional plans that reflect the global payer and stakeholder needs on economic value.

Additionally for the right candidate, this role can be remote.

A Day In The Life

Lead the assessment, development and execution of US and OUS reimbursement strategies

Ensure appropriate reimbursement, health economics and policy analyses and perspectives are integrated into business plans

Working knowledge of the AMA CPT submissions process and tactical execution for select Endoscopy OU businesses.

Monitors regional policy issues and conducts risk analysis in targeted ENDO businesses; including CMS comment submissions in collaboration with ENDO HEPR, Corporate HEPR, Government Affairs and other OU HEPR teams

Strong understanding of the US market and medical device reimbursement processes/channels with a desire to expand scope globally

Identify and communicate evidence requirements to optimize the global reimbursement/access landscape through creation of economic evidence strategies to support future research designs

Collate and summarize priority clinical and economic evidence to support value positions

Support the development of global value dossiers for government agency submissions, health technology assessment (HTA) and to underpin product value positioning

Collaborate with regional HEPR country-level teams enabling customized reimbursement strategies aligned with product lifecycle position and business priorities

Integrates cross-functionally with global and regional stakeholders including Clinical, Commercial, Legal, Marketing, Regulatory, R&D, Corporate & Global HEPR to drive reimbursement optimization

Responsible for annual objective setting and monthly ENDO LT Operations Mechanics business review updates specific to the DX side of the ENDO portfolio

Provide HEPR training and education programs to internal teams and may also engage externally with Physicians, Hospital Administration and Payer stakeholders

Develops strategic relationships with professional societies, medical associations, advocacy groups, thought leaders to provide leadership and focus in areas of mutual interest including physician & facility reimbursement, coding, payment, coverage, guidelines.

Must Have; Minimum Requirements

Bachelor's degree

Minimum 10 years' experience in reimbursement, market access, health economics or medical device

Or advanced degree with a minimum of 8 years' experience in reimbursement, market access, health economics or medical device

Nice To Have

Master's degree in health policy, business administration, public administration or a related discipline

Knowledge of medical device lines (diagnostics/therapeutics/SaaS/SaMD) including related HEPR dynamics and anticipated impact on product life cycle and commercialization

Experience with AMA CPT Editorial Panel process, formulating strategies, supporting submissions

Working knowledge of CMS reimbursement processes, rulemaking and comment submissions

Policy research and review - formulating strategies and crafting submissions to influence outcomes in terms of increasing patient and market access

Ability to give best in class reimbursement advice to key business unit functions, either directly or by leveraging external expertise through consultants

Develop economic research for external publications (ex. claims databases)

Able to apply strong analytical skills to a variety of situations of varying ambiguity

Demonstrated ability to work and lead in a matrixed organization including Director-level teams

Project leadership experience leading cross-functional teams and through consultants

Experience with Microsoft suite of products with an emphasis on PowerPoint, Excel, Word

Novice to Intermediate modeling (ex. Excel) experience

Experience working in a an early-stage or fast-paced entrepreneurial environment

Experience reviewing HTAs, coverage policies, payment regulations - interpreting business impact

Ability to forge alliances and stay connected with business unit partners on a day-to-day basis

Must be self-motivated with effective communication skills to facilitate collaboration among businesses and to direct and motivate others.

Physical capabilities to perform the job

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.

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.

Other examples: Able to lift 25 pounds, Extended periods of time doing computer-based work

Ability to travel by car and plane in the US and OUS regions.

Travel is 10-20% per month or based on evolving requirements
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.