Associate Contract Analyst, Diabetes

Medtronic is a global leader in healthcare technology, and they are seeking an Associate Contract Analyst to support the Managed Markets team within the Market Access Department. The role involves collaborating with cross-functional teams to ensure compliance with policy guidelines and maintaining operational excellence in the diabetes division.

Responsibilities

• 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
• Participate in other related projects as assigned
• Less than 25% travel may be required as part of regular business duties

Skills

• High School Diploma or equivalent with 2+ years of relevant experience in Contracts or Pricing equivalent experience
• Associate's Degree with 1+ year experience
• 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
• Industry experience in medical device, healthcare, pharmacy contracting, or technology preferred
• 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)

Company Overview

Company H1B Sponsorship