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U.S. Payer Advocacy and Market Access Principal Specialist Cardiovascular

U.S. Payer Advocacy and Market Access Principal Specialist Cardiovascular

Medtronic PlcSalida, CA, US
7 days ago
Job type
  • Full-time
Job description

U.S. Payer Advocacy And Market Access Principal 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.

Medtronic is seeking a U.S. Payer Advocacy and Market Access Principal Specialist, a role responsible for driving patient and market access with commercial health plans. This work requires in-depth, direct experience and expertise with commercial payer stakeholders, understanding how medical policies for innovative therapies are established. This position supports engagement with commercial payers, managed care organizations, and Medicare Advantage plans. Additionally, this role requires experience and skill in engaging, guiding, and collaborating with physicians, hospitals, patients, and other stakeholders who are integral to payer advocacy. Strong project management skills and technical savvy are critical, and having a working knowledge of U.S. coding, coverage, and payment systems is essential. This candidate must be highly team-oriented and work well with sales and marketing colleagues.

This role will support multiple cardiovascular businesses in Medtronic, including coronary, renal denervation, peripheral, and vascular therapies. The role will be focused on market access in the United States. This is an individual contributor role.

The U.S. Payer Advocacy and Market Access Principal Specialist is responsible for executing our market access strategies through engagement and support of clinical stakeholders and other key partners to advocate for appropriate coverage for Medtronic technologies.

Roles and Responsibilities

  • Understand Medtronic market access strategies, and develop and execute tailored tactical plans for payer advocacy in partnership with external advocates, including physicians, hospital administrators, other clinicians, patients, and advocacy organizations. The role requires skill in understanding and working closely with physician leaders and provider teams, along with a deep understanding of commercial payer stakeholders, with direct experience in payer engagements.
  • Advocate for Medtronic's value proposition and therapies through tailored communications, evidence presentations, and payer education initiatives. Have a high comfort level with clinical and economic data for medical innovations and technologies, and excellent skills at communicating clinical and economic value stories to payer stakeholders.
  • Work closely with Medtronic colleagues in the Health Economics, Policy, and Reimbursement function, as well as Marketing and Sales. Understand overall business strategy and goals as relates to the positions of this role. Be highly comfortable and adept at working within a large, matrixed organization.
  • Develop project plans, maintain timelines, and track to milestones; coordinate across team members and advocacy partners in the execution of these plans. Individual must be proficient at adapting projects to unexpected or unplanned changes in order to stay on goal. The role requires being comfortable and skillful in navigating the constantly evolving and ambiguous nature of a new therapy and technology market landscape.
  • Provide education and subject matter expertise through content, training, and strategic support to internal teams and provider partners for effective payer advocacy and market access development.
  • Use (and occasionally may need to create) tools for data tracking, leadership reporting, and project management.
  • Develop a strong understanding of Medtronic products and therapies. Be aware of U.S. market access trends, competitive activities, and payer medical policy changes.
  • Ensure compliance with all relevant laws, regulations, and internal policies. Exercise sound judgment to maintain transparency and ethical standards in all payer-related activities. Work accordingly with legal, compliance, and other business groups to assure high quality and compliance.
  • May occasionally represent Medtronic in payer advisory boards, policy working groups, and external associations, advocating for cardiovascular therapies and patient access priorities.

Education and Experience Requirements

  • Bachelor's degree in business, healthcare administration, health policy, health economics, pharmacy, or a related field.
  • Minimum 7 years of relevant experience (or 5 years with an advanced degree) in the healthcare industry sector with significant exposure to market access, payer relations, and reimbursement roles.
  • At least 3 years of experience in roles directly involved in U.S. commercial payer engagement and advocacy.
  • Established relationships with key payer decision-makers and demonstrated success influencing coverage policies and access outcomes.
  • Strong understanding of U.S. commercial and governmental payer landscape, reimbursement systems, coding (HCPCS / CPT, ICD-10), and managed care contracting.
  • In-depth knowledge of coverage and payment processes, health technology assessment (HTA) requirements, and payer market dynamics for specialty and cardiovascular products.
  • Exceptional verbal and written communication skills, including the ability to present complex topics to executive leadership and external stakeholders.
  • Expertise in preparing business correspondence, internal reports, payer messaging, and presenting to large groups or conference audiences.
  • Proven project management skills and attention to detail.
  • Comfort with Microsoft Office applications (Office 365, Teams, OneDrive), Salesforce.com, and ability to adopt new software and communication platforms as needed.
  • Nice to Haves :

  • MBA, MHA, PharmD, or advanced / master's degree in health policy, public administration, clinical research, or related discipline.
  • Experience in cardiovascular therapies, digital health technologies, or first-in-class medical innovations.
  • Skills and Competencies

  • Proven ability to build, lead, and motivate high-performing, cross-functional teams in a matrix or complex environment.
  • Strong organizational skills with the ability to prioritize and deliver on objectives under tight timelines.
  • Demonstrated results orientation, strategic thinking, and bias for action in ambiguous, fast-paced settings.
  • Travel Requirements

  • 10-20% travel, with periods of increased travel for payer engagement, conferences, and strategic meetings.
  • 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.

    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 - $207,600.00 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

    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,

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