Responsibilities may include the following and other duties may be assigned.
• Develops and implements reimbursement strategies and programs to obtain coverage, coding and payment from payer/providers.
• Provides reimbursement-related advice to product development teams, marketing, sales, regulatory, clinical and business leaders.
• Identifies payer opportunities and issues and implements programs to resolve/decrease barriers to entry for the company's products or therapies.
• Works closely with Health Economics and Outcomes Research staff to evaluate the economic impact of the use of therapies/products on payers, including the government.
• May create training and deliver education programs to sales force, physicians, home care agencies, case managers, hospital CFO's, medical directors, billing personnel, and pharmacists in clinics and hospitals.
• To prepare reimbursement applications of Medtronic products and therapies making use of, including but not limited to, the internal master dossiers shared by SBU & GEO and local market and product information to obtain an adequate level of coverage and payment for Medtronic products and therapies from the relevant insurance authorities.
• To support and execute the listing / pricing activities for obtaining the targeted winning bids which support business needs.
• To build close working & trusting relationship with reimbursement, healthcare economics related & governmental or non-governmental stakeholders which will lead to the ability to influence policy, develop & realize the listing, price approval & reimbursement strategy.
• Be trained & grant good knowledge of the internal master dossiers and local product and market information as well as listing / pricing / reimbursement application working instruction.
• Be an expert in price approval & reimbursement strategy to provide professional consultation with business partners.
• Establish close working relationship with the colleagues of business units (BU) and financial analysis dept. (FA). Work with BU and FA to develop and define pricing & reimbursement projects in priorities to meet BU expectations and business needs. Drive strategies and recommendations for price approval & reimbursement activities.
• Lead and execute local applications and address related issues for agreed price approval and reimbursement projects, including but not limited to, the generation of local application documents, advocacy seminars and field visits making use of the internal master dossiers & other relevant information.
• Support and execute the listing activities and provide solutions for related issues in listing.
• Manage the overall price approval & reimbursement activities and evaluate the efficiency & cost effectiveness of new therapies and products. Develop and maintain overall database for price approval & reimbursement activities, project calendar, and their related reporting and communication.
• Build trusting relationship with healthcare policy, price approval & reimbursement officials of the government, medical societies, NGO & patient groups as well as hospitals. Act as a contact of Medtronic to maintain communication with those stakeholders, collect and seek consultation, advice and information from them for reimbursement related tasks.
• Collect & analyze existing facts, short- & long-term trends of healthcare policy and how it will affect price approval & reimbursement policy & practices for the medical device industry.