Health Economics Manager - Remote

About the role

The Health Economics Manager will partner with sales teams, healthcare providers, and decision-makers to drive acceptance and sustained use of Medtronic's ENT therapies. This role serves as a reimbursement and health economics expert, evaluating financial and policy factors affecting therapy adoption across various healthcare settings.

Responsibilities

• Provide input and assist in developing reimbursement materials and tools for customers 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 the 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. Identify key issues and trends with commercial and government payers; determine and implement appropriate solutions.
• Conduct webinars for new and existing customers (frequency based on customer need) and track/report attendance.
• Partner with sales, marketing, and clinical teams to ensure a seamless customer experience and compliance. Deliver in-person and virtual reimbursement workshops and policy update sessions.
• Collaborate with Sales, Marketing, Medical Affairs, and Compliance teams. Provide field insights on reimbursement trends and economic models as warranted. Work with Marketing colleagues on strategies addressing the needs of key Government, Healthcare Agencies, and Commercial Stakeholders, influencing economic and policy decisions on product coding and reimbursement.
• Participate in initiatives supporting new product launches and payment advocacy efforts. Ensure compliance with corporate and regulatory requirements.

Requirements

• 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 preferred.
• 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 in effectively influencing and selling.
• Knowledge and/or experience negotiating payer/provider contracts.
• Experience building strong cross-functional partners.

Qualifications

• Must have U.S. work authorization.
• Must be located in Texas.
• Must be able to travel up to 50-75% of the time.

Skills

• Strong understanding of medical device coding, coverage, and payment.
• Excellent communication and presentation skills.
• Ability to manage multiple projects and prioritize tasks.
• Strong analytical and problem-solving skills.
• Experience working with healthcare providers and payers.

Benefits

• Competitive Salary
• Flexible Benefits Package
• Health, Dental, and Vision Insurance
• Health Savings Account
• Healthcare Flexible Spending Account
• Life Insurance
• Long-term Disability Leave
• Dependent Child Care Spending Account
• Tuition Assistance/Reimbursement
• Employee Stock Purchase Plan
• Employee Assistance Program
• Simple Steps (global well-being program)