Associate Contract Analyst, Diabetes

MedtronicLos Angeles, CA
5dRemote

About The Position

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life The Contract Analyst (Payer Relations Analyst) plays a critical role in supporting the Managed Markets team within the Market Access Department. As an integral member of the organization, this position 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. The Contract Analyst is instrumental in maintaining operational excellence, regulatory compliance, and fostering strong partnerships that drive successful market access strategies. This is a remote position. Individuals must reside within the United States and be able to travel up to 25% as needed. This position is an exciting opportunity to work with Medtronic's Diabetes business. Medtronic has announced its intention to separate the Diabetes division to promote future growth and innovation within the business and reallocate investments and resources across Medtronic, subject to applicable information and consultation requirements. This separation provides our team with a bold opportunity to unleash our potential, enabling us to operate with greater speed and agility. As a separate entity, we anticipate leveraging increased investments to drive meaningful innovation and enhance our impact on patient care.

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
  • Less than 25% travel may be required as part of regular business duties.
  • Must reside within the United States

Nice To Haves

  • 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.

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.

Benefits

  • Medtronic offers a competitive Salary and flexible Benefits Package
  • We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
  • 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, and 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), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums).
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