Carrie H.

About Carrie H.

Market Access and Strategic ReimbursementHighly-accomplished, process-driven Reimbursement Director with expertise in coverage / access attainment, medical policy development / updates, and educating customers on appropriate coding, billing, and reimbursement procedures to ensure favorable coverage and payment from insurers. Possess firm belief that successful reimbursement strategy is a multi-pronged approach involving the patient, providers, and the manufacturer to create win-win solutions. Talent for sourcing, securing, and developing Key Opinion Leaders and forming alliances with advocacy groups. Well-versed in Medicare, Medicaid, Medicaid Managed Care Plans, private / commercial payers and Tricare access and reimbursement policies. Relied upon to cultivate and maintain key relationships with a strategic focus on problem-solving, education, and advocacy efforts to expand access and strategically overcome reimbursement obstacles. Active participant with colleagues on the management team to provide strategic input.Expertise in:» Reimbursement» Public / Commercial Payer Coverage / Access Attainment » Strategic Business Development Planning» Internal and External Reimbursement Support» Coding » Payment Methodologies » Payer Policies » Proposed Rule Changes» Fee Schedule and Payment Methodologies» FDA and CMS Strategy » KOL / Advocacy Relationship Development » Contract Negotiation» Medicaid Provider Enrollment » Provider Pre-authorization Assistance » Medical Policy Development

Experience

1. Health Economics Manager

   Medtronic

   Nov 2024 — Present

   Pain & Interventional Therapies

Education

• The Ohio State University

  Bachelor of Arts (B.A.), Communication

• University of Washington

  Certificate in Health Economics & Outcomes Research (HEOR), Health Economics

  2017 — 2018