Health Economic Manager

🕒 vor 4 Tagen

🤠 Texas – Remote

🤠 Texas – Remote

💵 $133.600 - $200.400 / Jahr

⏰ Vollzeit

🟠 Senior

🔴 Experte

👔 Manager

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Medtronic

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

Gegründet 1949

⚕️ Krankenversicherung

Healthcare Insurance • Medical Devices

Medtronic ist ein globaler Vorreiter für Gesundheitstechnologie, der sich der Bewältigung der komplexesten und herausforderndsten medizinischen Erkrankungen widmet. Mit über 95. 000 Mitarbeitenden in mehr als 150 Ländern konzentriert sich das Unternehmen darauf, den Zugang zu Gesundheitstechnologien zu beschleunigen und Inklusion, Vielfalt sowie Chancengerechtigkeit im Gesundheitswesen voranzubringen. Medtronic arbeitet eng mit Gesundheitsfachkräften zusammen, um Innovationen voranzutreiben und Behandlungen sowie Therapien zu optimieren – und so Patientinnen und Patienten weltweit neue Hoffnung und Möglichkeiten zu eröffnen. Das Engagement des Unternehmens für das Gesundheitswesen zeigt sich auch in seinem Fokus auf wirkungsvolle Lösungen und nachhaltige Praktiken.

Beschreibung

• 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.

🎯 Anforderungen

• 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.

🏖️ Vorteile

• 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)