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Principal Reimbursement Analyst - Renal Denervation

$138.4k - $207.6k

Medtronic Plc

Principal Patient Access Specialist

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.

The Principal Patient Access Specialist for the Renal Denervation Operating Unit serves as a senior subject matter expert responsible for supporting and optimizing patient access to renal denervation therapy. This role provides advanced expertise in prior authorization, appeals management, and payer policy interpretation while helping physicians, hospitals, and patients navigate complex reimbursement and coverage processes.

In addition to supporting complex and escalated cases, the Principal Patient Access Specialist leads customer education efforts and provides training and demonstrations on patient access support services. This role manages registrations for patient access support programs, ensures appropriate case coordination, and acts as a key resource for customer inquiries related to reimbursement and coverage pathways.

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.

Responsibilities

  • 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.

Must Have; Minimum Requirements

To be considered for this role, please ensure the following minimum requirements are evident in your applicant profile.

  • 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

Nice to Have

  • 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.

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.

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. 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.

U.S. Work Authorization & Sponsorship

At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment.

Join us in our mission to alleviate pain, restore health, and extend life—where your unique background and perspective are valued.

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):$138,400.00 - $207,600.00This 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

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 95,000+ passionate people. We are engineers at heart—putting ambitious ideas to work to generate real solutions for real people. From

Vacancy posted 8 days ago
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