Medtronic

Associate Contract Analyst, Diabetes

Medtronic

full-time

Posted on:

Location Type: Remote

Location: California • Minnesota • United States

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Salary

💰 $55,200 - $82,800 per year

About the role

  • Lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
  • Plays a critical role in supporting the Managed Markets team within the Market Access Department.
  • Collaborates closely with various cross-functional teams—including Health Plan Solutions, Inside Sales, Patient Financial Services, Finance, Legal, and Compliance—to ensure alignment with Commercial and Government policy guidelines.
  • Instrumental in maintaining operational excellence, regulatory compliance, and fostering strong partnerships that drive successful market access strategies.
  • Attend and actively participate in cross-functional Revenue Cycle meetings and projects, including Denial Management and Order to Cash initiatives (e.g., benchmarking, system improvements).
  • Facilitate payor audits and internal Managed Markets projects related to the Revenue Cycle.
  • Research, document, and maintain payer requirements; educate and communicate guidelines specific to Durable Medical Equipment policies and State Mandates.
  • Identify, research, and resolve operational issues with payors, including Health Insurance Payment, Authorization, Licensing, Credentialing, and Contractual Guidelines.
  • Proactively interact with internal business units to review and finalize commercial agreements and pricing, and with external Health Plan customers to support negotiation of key contractual Terms and Conditions.
  • Gather and analyze payor data—including claim payments, product denials, sales orders, and profitability—to ensure contractual obligations are met.
  • Collaborate with and support Health Plan Solutions corporate account managers in overseeing assigned health plan operations.
  • Develop conclusions and recommendations, and present findings to Health Plan Solutions, Market Access, Managed Markets, and other business units across the revenue cycle.
  • Build collaborative relationships across revenue cycle divisions, proactively seeking opportunities to gather and produce data, identify issues, and target areas for development.

Requirements

  • High School Diploma or equivalent with 2+ years of relevant experience in Contracts or Pricing equivalent experience OR Associate's Degree with 1+ year experience OR Baccalaureate Degree
  • Experience with licensing, credentialing, and accreditation for medical device manufacturers.
  • Knowledge of State Medicaid, CMS regulations, and Code of Federal Regulations (CFRs), particularly for Part B and Part D suppliers.
  • Understanding of healthcare industry systems, including the financial dynamics of managed care, health plans, and provider contractual relationships.
  • Working knowledge of pharmacy adjudication and operations (e.g., NDC coding, adjudication rejection handling, ship-to-soon edits).
  • Familiarity with government and managed government programs.
  • Experience in medical billing, claims processing, claims collections, or DME order processing within the healthcare industry.
  • Proficiency in HCPCS coding, ICD-10 coding, modifiers, and unit of measure calculations.
  • Ability to handle multiple diverse responsibilities in a fast-paced environment.
  • Excellent time management, organizational, verbal, and written communication skills.
  • Strong problem solving, analytical, and decision-making abilities.
  • Skilled at resolving conflicts in a tactful and professional manner.
  • Effective team player and capable individual contributor.
  • Demonstrated ability to manage issues through resolution while keeping all stakeholders informed.
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)

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
licensingcredentialingaccreditationmedical billingclaims processingHCPCS codingICD-10 codingNDC codingadjudication rejection handlingunit of measure calculations
Soft skills
time managementorganizational skillsverbal communicationwritten communicationproblem solvinganalytical skillsdecision-makingconflict resolutionteam playerindividual contributor