Principal Reimbursement Analyst - Renal Denervation

As a senior team member, the Principal Patient Access Specialist serves as a mentor and subject matter expert to Patient Access Support Specialists. This individual provides guidance on complex payer scenarios, shares best practices, and supports the development of team capabilities. The role also monitors payer trends, identifies reimbursement barriers, and collaborates cross-functionally with reimbursement, market access, and commercial partners to support effective patient access strategies.* Serve as the subject matter expert on patient access processes, payer coverage policies, prior authorization requirements, and denial management related to renal denervation therapy.* Provide advanced support for complex or escalated prior authorization and appeals cases.* Assist physicians, hospitals, and patients in understanding coverage policies, prior authorization requirements, and payer processes.* Validate patients' insurance eligibility and benefits and guide customers through payer requirements and coverage pathways.* Monitor authorization status and provide timely updates to providers, customers, and internal stakeholders.* Submit persuasive appeal letters addressing payer objections using provider documentation to support medical necessity.* Respond to customer inquiries related to patient access support services, reimbursement processes, and coverage pathways.* Deliver customer trainings, presentations, and demonstrations on patient access services, reimbursement considerations, and program workflows.* Manage registrations for patient access support services and ensure appropriate case documentation and routing.* Mentor and support Patient Access Support Specialists by providing guidance on complex cases, payer policies, and best practices.* Identify and communicate trends in payer coverage decisions, authorization requirements, and denial patterns to internal stakeholders.* Contribute to the development of educational materials and resources for providers, hospitals, and patients.* Collaborate with reimbursement, market access, clinical, and commercial teams to address coverage challenges and improve patient access strategies.* Maintain accurate reporting and documentation related to payer processes, coverage decisions, and program activity.* Support continuous improvement initiatives to enhance patient access workflows, training, and customer experience.* Perform other duties as assigned.* Bachelor's degree* Minimum of 7 years of experience in case management, reimbursement support, prior authorization, or utilization review* Or Advanced degree with a minimum of 5 years of experience in case management, reimbursement support, prior authorization, or utilization review* Strong knowledge of healthcare reimbursement processes, payer coverage policies, medical necessity requirements, denials, and appeals* Experience supporting reimbursement or patient access programs within the medical device or healthcare industry* Clinical background such as nursing or allied health experience* Experience providing education or training to healthcare providers or internal teams* Familiarity with Medtronic reimbursement policies and procedures* Demonstrated ability to serve as a subject matter expert and mentor within a team environment* Strong written and verbal communication skills with the ability to tailor messaging to clinical, administrative, and payer audiences* Excellent customer service and problem-solving skills with the ability to manage complex issues independently* Strong organizational skills including documentation, prioritization, and multi-tasking* Experience using CRM systems or patient support program platforms* Knowledge of medical terminology and cardiovascular or renal disease states* Demonstrated ability to collaborate and influence in a highly matrixed organization* Proficiency with Microsoft Office (Outlook, Word, Excel, PowerPoint)* High degree of initiative, accountability, and self-motivation* Travel Requirement: Up to 10% travel.**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.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.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 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.* **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 learningThese 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 careIt 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 #J-18808-Ljbffr