Principal Reimbursement Analyst - Renal Denervation

Medtronic•Mounds View, MN

3d•$138,400 - $207,600•Remote

About The Position

At Medtronic, we bring bold ideas forward with speed and decisiveness to put patients first in everything we do. This position is remote to enhance our competitive edge and expand our cross-functional collaboration efforts. This role will require 10% of travel to enhance collaboration and ensure successful completion of projects. 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.

Requirements

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
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.

Nice To Haves

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

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.
Review and coordinate documentation, clinical notes, and supporting materials required for authorization submissions.
Monitor authorization status and provide timely updates to providers, customers, and internal stakeholders.
Develop and 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.

Benefits

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
Simple Steps (global well-being program)
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)
Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)