Senior Payer Policy and Relations Analyst - CRDN

We anticipate the application window for this opening will close on - 26 Feb 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**

We are looking for a   **Senior** **Payer Policy and Relations Analyst** to join our Health Economics, Policy, and Reimbursement (HEPR) team.  The primary objective of this role is to support the development and execution of U.S. Coverage and reimbursement strategy through engagement with U.S. payer organizations. The individual acts as a business support to the cross-functional leaders and staff within the HEPR organization.

This role offers the opportunity to support the establishment of reimbursement of innovative new therapies in the following Medtronic OUs: Coronary & Renal Denervation (CRDN), Peripheral Vascular Health (PVH), Cardiac Surgery (CS), and Structural Heart & Aortic (SH &A).  Renal denervation is an example one of the key therapies this position will support.  Renal denervation is an innovative procedure that helps lower a patient’s blood pressure. The technique targets specific nerves near the kidneys that can become overactive and cause high blood pressure, also known as hypertension. High blood pressure is a global epidemic, affecting one-third of adults. The role is a unique opportunity to help establish reimbursement for a new-to-world medical device that will potentially transform healthcare globally.

+ Develops and manages a network key contacts and relationships with policy makers for U.S. Commercial insurers, Medicaid Payers, and local Medicare Contractors;

+ Develop tools to accelerate positive U.S. payer coverage particularly among commercial payers. This includes but is not limited to the development of model coverage policies, value dossiers, coverage request submissions, and documents to help providers navigate the prior authorization and claim denial process;

+ Assists in the analysis and reporting on government and commercial payer policies affecting reimbursement and/or patient access and develops recommendations to address resulting opportunities or challenges;

+ Interacts with local physician champions and important stakeholder groups to facilitate effective engagement with payers;

+ Partner with Field-focused organizations for coordination with payer strategy;

+ Work with Government Affairs to drive coverage and payment among state Medicaid plans;

+ Collaborate with legal, compliance, and other business groups to assure appropriate engagement processes are strictly adhered;

+ Support and develop internal communications around coverage policy changes.

+ To be successful, this role will develop a deep understanding of company products and therapies, health and payment policies and structures, and the types of evidence that are appropriate for supporting business priorities.

**Responsibilities**

+ Facilitate patient access to CRDN, PVH, CS, and SH&A therapies by collaborating with cross-functional teams on reimbursement submissions and development of reimbursement tools & materials to enable successful product launches

+ Develop resources and support physician & customer training and education on reimbursement

+ Review, assess, and execute payer strategies for establishing, continuing, and expanding therapy coverage

+ Participate in discussion of health claim analyses and economic data for tool creation, market intelligence, and evidence strategy

+ Maintain expertise in U.S. payer procedures (including prior authorization and appeals) and reports as well as coding, coverage, and payment.

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

**Must Have:** **Minimum** **Requirements**

+ Bachelor’s Degree

+ 4 years healthcare payer experience with US payer organizations

+ Or 2 years healthcare payer experience with US payer organizations and an advanced degree

**Nice to Have**  

+ Minimum 5 years healthcare payer experience with US payer organizations

+ Master’s degree (MBA or MHA preferred) or advanced degree in health policy, health services research, economics, biostatistics, epidemiology, public administration, clinical research or a related discipline

+ Experience working in medical device industry or hospital administration

+ Significant experience with development of clinical policies for medical benefits at U.S. commercial payers

+ Knowledgeable in hospital-based medical device reimbursement, including U.S. healthcare coding (HCPCS/CPT and ICD-10) and Medicare and U.S. commercial payers

+ Understanding of and experience with health economic methods, including cost-effectiveness and budget impact analyses

+ Highly effective verbal and written communication skills

+ Skilled and engaging presenter, including executive-level audiences

+ Strong project management skills, results orientation, quality orientation, proactive, with attention to detail

+ Ability to work comfortably and collaboratively across cultures in a complex, global matrix organization

+ Experienced with Microsoft Office suite of applications

+ Knowledgeable of cardiovascular therapies, particularly coronary, structural heart, and peripheral vascular

+ Knowledgeable of state Medicaid and integrated payer-provider reimbursement pathways

+ Demonstrated influence management skills and ability to work effectively in a matrixed organization

**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):$98,400.00 - $147,600.00

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 (https://www3.benefitsolver.com/benefits/BenefitSolverView?page\_name=signon&co\_num=30601&co\_affid=medtronic)

**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 90,000+ 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 (http://www.medtronic.com) .

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 (https://www.medtronic.com/content/dam/medtronic-wide/public/united-state...) 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.

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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 90,000+ 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.

**We change lives** . Each team member, each day, helps to improve and redefine how the world treats the most pressing health conditions, from heart disease to diabetes. Our industry leadership comes from the passion and ingenuity of our people. That’s who we are. Working alongside one another, we use science, medicine, and a profound understanding of the human body to build extraordinary technologies that can transform lives.

**We build extraordinary solutions as one team** . With one Medtronic Mindset defining how we work. Speed and decisiveness run through our DNA. Diverse perspectives inspire our bold answers to any challenge that comes our way. And we deliver results the right way, breakthrough after patient breakthrough.

**This life-changing career is yours to engineer** . By bringing your ambitious ideas, unique perspective and contributions, you will…

+ **Build** a better future, amplifying your impact on the causes that matter to you and the world

+ **Grow** a career reflective of your passion and abilities

+ **Connect** to a dynamic and inclusive culture that welcomes the challenge of life-long learning

These commitments set our team apart from the rest:

**Experiences that put people first** . Respect for people is the hallmark of our humanity. It fuels our team to positively impact even a single life. And it means we put our people first at Medtronic as well, creating a culture of belonging and always pushing to get you the career-building resources you need.

**Life-transforming technologies** . No matter your role, you contribute to technologies that transform lives. What we build empowers patients to live life on their terms.

**Better outcomes for our world** . Here, it’s about more than the bottom line. Our Mission to improve human welfare drives us. We advance healthcare, society, and equity with every design, inside and outside our walls.

**Insight-driven care** . Fresh viewpoints. Cutting-edge AI, data, and automation. You're shaping the future of healthcare technology and defining the next generation of breakthroughs in care

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.

For sales reps and other patient facing field employees, going into a healthcare setting is considered an essential function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.

This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here (https://www.e-verify.gov/employees) .

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