US Reimbursement Director - Diabetes
At Medtronic, we're on a mission to improve the lives of people with diabetes. We're seeking a highly motivated and experienced US Reimbursement Director who shares our passion for shaping the healthcare landscape and securing access to innovative therapies for diabetes patients. In this pivotal role, you'll work closely with a talented and dedicated team to achieve our reimbursement and health policy goals, ensuring that patients have access to the care they need.
As our US Reimbursement Director, you'll have a unique opportunity to make a meaningful impact on the diabetes community. You'll be responsible for developing and executing strategic reimbursement plans, engaging with payors and societies to build high-level relationships, lead advocacy and coalition work, and serve as the primary spokesperson for our business with Medicare. You'll also provide critical input to product and clinical evidence requirements including input for product development and trial design working closely with our product innovation and research partners to achieve reimbursement of Medtronic therapies/products in the US.
To be successful in this role, you'll need to be an excellent communicator with a proven ability to drive change through influence. You'll bring strong problem-solving skills, a focus on execution, and a deep commitment to improving the lives of people with diabetes.
If you're ready to join a dynamic team who is dedicated to making a difference in the lives of patients, we invite you to apply for our US Reimbursement Director position today.
Medtronic Diabetes is headquartered in Northridge, CA. The strong preference is for this role to be based in Northridge, but remote within the United States may be considered for exceptionally qualified candidates.
A Day in the Life
Responsibilities may include the following and other duties may be assigned:
- Will shape the US healthcare landscape by developing and implementing market access and reimbursement strategies and programs. Will ensure understanding of the differentiation of our product offerings to obtain coverage, coding, and payment from payor/providers
- Provide market-access and reimbursement-related advice to product development teams, marketing, sales, regulatory, clinical, and business leaders. This includes ensuring payor requirements are identified, and that appropriate evidence is accounted for and incorporated into product and clinical trial plans through the product development process
- Identify payor opportunities and barriers and implement programs to overcome those barriers to increase adoption for the company's products or therapies
- Work closely with internal functions like Governmental Affairs, Clinical, Regulatory, Quality and our commercial teams as well as external partners (payors, governments) to initiate and guide projects
- Working closely with government affairs, lead policy initiatives, maintain and grow payer and influencer networks to help establish our therapies as the standard of care
- Travel to internal and external stakeholders and stay abreast of industry trends, regulatory changes, and payor policies that impact reimbursement and health policy goals.
- Partner with global region reimbursement teams to share best practices and contribute to the overall diabetes reimbursement strategy.
- Travel approximately 15%
- Bachelors degree required
- Minimum of 10 years of relevant healthcare experience with 7+ years of managerial experience, or advanced degree with a minimum of 8 years of relevant healthcare experience
- 7+ years of managerial experience
- Demonstrated knowledge of US payors' system including Medicare, health insurance policies, payor/provider and billing procedures and regulations.
- Proven track record of developing and implementing successful reimbursement strategies in the US
Nice to Have
- Advanced degree in health policy, health services research, economics, or related discipline
- Expert knowledge of the US healthcare and insurance system and their specific finance structure
- Minimum of 10 years of experience working in market access, health insurance and as a surplus pharmaceutical industry in the area of funding, reimbursement and/or health economics application in healthcare environment.
- Demonstrated expertise in securing coverage, coding and payment for a new product
- Ability to maintain proactive relationship with payors, providers, and government agencies
- Demonstrated skills in critical thinking
- Excellent communication and presentation skills -- written and verbal
- Work experience directly in the Medical Device industry
- Track-record of building a deeply connected and highly engaged team by fostering employee inclusion, enhancing teamwork and benefit from diverse skills and experience
About Medtronic
Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.
We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Let’s work together to address universal healthcare needs and improve patients’ lives. Help us shape the future.
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. (ADA-United States of America)
This position is eligible for an annual long-term incentive plan. Learn more about Medtronic Long-Term Incentive Plan (LTIP) here.
The provided base salary range is used nationally in the United States (except in Puerto Rico). Base pay is based on numerous factors and may vary depending on job-related knowledge, skills, experience, etc.
