Health Economic Manager

🔥 19 horas atrás

🤠 Texas – Remoto

🤠 Texas – Remote

💵 $133.600 - $200.400 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

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Medtronic

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1949

⚕️ Seguro de Saúde

Healthcare Insurance • Medical Devices

A Medtronic é líder global em soluções de tecnologia médica, atuando no enfrentamento das condições médicas mais complexas e desafiadoras. Com mais de 95. 000 funcionários em mais de 150 países, a empresa está focada em acelerar o acesso a tecnologias de saúde e em promover inclusão, diversidade e equidade na saúde. A Medtronic colabora de perto com profissionais de saúde para inovar e otimizar tratamentos e terapias, inspirando esperança e novas possibilidades para pacientes no mundo todo. O compromisso da empresa com a saúde também se reflete no foco em soluções de impacto e em práticas sustentáveis.

Descrição

• 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. • 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 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. • Conduct webinars for new and existing customers (frequency based on customer need) and track/report attendance.

🎯 Requisitos

• 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. • Experience developing and implementing strategic relationships and concepts with key influencers, utilizing business and financial measures with economic modeling. • Experience creating and giving presentations. • Experience utilizing effective influencing and sales skills. • Knowledge and/or experience negotiating payer/provider contracts. • Experience building strong cross-functional partners. • 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.

🏖️ Benefícios

• 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)