Sr Director, US Reimbursement Strategy
Medtronic
Summary
The Health Economics, Policy, and Reimbursement (HEPR) function partners across Medtronic to shape healthcare policy, reimbursement, and market access strategies that support patient access to medical technologies. This team assesses evolving payment and coverage policies, develops reimbursement strategies, and engages with government, industry, and internal stakeholders to address access barriers and support sustainable adoption of current and future therapies.
Job description
A Day in the Life
The Health Economics, Policy, and Reimbursement (HEPR) function partners across Medtronic to shape healthcare policy, reimbursement, and market access strategies that support patient access to medical technologies. This team assesses evolving payment and coverage policies, develops reimbursement strategies, and engages with government, industry, and internal stakeholders to address access barriers and support sustainable adoption of current and future therapies.
This position is preferred to be onsite in Minneapolis, Minnesota or Washington, DC. Also open also to a U.S. remote location. The role operates in a highly collaborative, matrixed environment requiring engagement with corporate and business unit leadership, external stakeholders, and cross-functional partners. Travel may be required based on business and stakeholder engagement needs.
As Senior Director, US Reimbursement Strategy, you will lead the development and execution of Medicare reimbursement strategies that support Medtronic's portfolio of technologies and future innovation pipeline. This role serves as a senior reimbursement policy expert and strategic advisor, translating Medicare payment and regulatory developments into business strategies that support patient access, product adoption, and enterprise objectives.
Primary Responsibilities
- Lead U.S. Medicare reimbursement strategies for current and emerging technologies, including payment, coding, coverage, and market access pathways.
- Evaluate Centers for Medicare & Medicaid Services (CMS) proposed and final rules, payment methodologies, and policy changes to identify business impact and strategic responses.
- Advise business leaders and cross-functional stakeholders on reimbursement considerations for product development, launch planning, commercial strategy, and investment decisions.
- Develop strategies to address reimbursement and payment barriers affecting patient access and technology adoption.
- Collaborate with Health Economics, Policy, and Reimbursement leadership to align reimbursement priorities with enterprise and portfolio objectives.
- Build and maintain relationships with CMS, industry associations, and healthcare policy stakeholders to advance reimbursement priorities.
- Lead development of reimbursement policy positions, regulatory comments, and advocacy efforts supported by clinical, economic, and policy evidence.
- Translate complex reimbursement and policy issues into executive-level recommendations and escalate significant risks and opportunities as appropriate.
Required Qualifications
- Bachelor's degree in health policy, health services research, economics, biostatistics, epidemiology, public administration, clinical research, or related discipline and 15+ years of medical device or pharmaceutical industry experience in health policy or strategic reimbursement or related field (including 10+ years managerial - people or program) OR advanced degree and 13+ years of medical device or pharmaceutical industry experience in health policy or strategic reimbursement or related field (including 10+ years managerial - people or program).
- Experience developing and executing Medicare reimbursement strategies, including payment, coding, coverage, and patient access pathways.
- Expertise interpreting CMS regulations, Medicare payment systems, and reimbursement policy developments.
- Experience influencing senior leaders and driving alignment across complex matrix organizations.
- Experience translating reimbursement policy developments into business strategy and actionable recommendations.
Preferred Qualifications
- Advanced degree in health policy, health economics, public policy, healthcare administration, or business administration.
- Experience with Hospital Outpatient Prospective Payment System (OPPS), Inpatient Prospective Payment System (IPPS), physician coding and payment, national and local coverage processes, and new technology payment pathways.
- Experience with CMS rulemaking, reimbursement advocacy, regulatory comment development, and government stakeholder engagement.
- Prior experience at CMS or another government agency with Medicare reimbursement or healthcare policy responsibilities.
- Established relationships within the U.S. reimbursement, healthcare policy, and CMS stakeholder communities.
- Experience developing reimbursement strategies for novel technologies, digital health solutions, or therapies with complex evidence and payment requirements.
- Experience mentoring reimbursement, policy, or market access professionals within a matrixed organization.
- Experience applying artificial intelligence tools to reimbursement, policy, market access, or operational workflows.
Requirements
- Bachelor's degree in health policy, health services research, economics, biostatistics, epidemiology, public administration, clinical research, or related discipline and 15+ years of medical device or pharmaceutical industry experience in health policy or strategic reimbursement or related field (including 10+ years managerial - people or program) OR advanced degree and 13+ years of medical device or pharmaceutical industry experience in health policy or strategic reimbursement or related field (including 10+ years managerial - people or program).
- Experience developing and executing Medicare reimbursement strategies, including payment, coding, coverage, and patient access pathways.
- Expertise interpreting CMS regulations, Medicare payment systems, and reimbursement policy developments.
- Experience influencing senior leaders and driving alignment across complex matrix organizations.
- Experience translating reimbursement policy developments into business strategy and actionable recommendations.
Benefits
- Health, Dental & Vision Insurance
- Health Savings Account
- Healthcare Flexible Spending Account
- Life Insurance
- Long-term Disability Leave
- Dependent Daycare Spending Account
- Tuition Assistance
- 401(k) Matching
- Short-term Disability
- Paid Time Off
- Paid Holidays
- Employee Stock Purchase Plan
- Employee Assistance Program
- Non-qualified Retirement Plan Supplement
- Capital Accumulation Plan
- Medtronic Incentive Plan (MIP)
Company overview
Medtronic is a global healthcare technology leader and one of the world's largest medical device companies, founded in 1949 in Minneapolis, Minnesota. The company operates in over 150 countries and employs more than 90,000 people worldwide. Medtronic's mission is to alleviate pain, restore health, and extend life through innovative medical technologies. The company develops and manufactures devices and therapies to treat more than 70 health conditions, including cardiac devices, cranial and spine robotics, insulin pumps, surgical tools, patient monitoring systems, and more. With a rich history that began with the invention of the battery-powered pacemaker, Medtronic has grown into a diversified healthcare technology company with four main business units: Minimally Invasive Therapies Group, Diabetes Group, Restorative Therapies Group, and Cardiac and Vascular Group. The company's therapies help approximately 72 million people annually and represent a significant force in advancing medical technology to address some of humanity's most challenging health problems.