1. KARL H. LINDNER
1030 Shadow Ridge Crossing O’Fallon, IL.62269
(618) 520-8291 karllindner2016@gmail.com
REIMBURSEMENT / ACCESS & MEDICAL POLICY MANAGER
SUMMARY OF QUALIFICATIONS
Market Access and Health Economics professional with leadership experience in the medical device field. A strong business
background working with all stakeholders in healthcare delivery for medical devices. Solution oriented executive with focus on bottom-
line financial results.
Areas of Expertise
• Coding and billing for medical devices
• Reimbursement for medical devices and injectable drugs
• Denials management from government and commercial payers
• Revenue cycle analysis including claims review and analysis
• Payer relations and policy development
• Physician practice and facility market development for treatment algorithms
EXPERIENCE
Medtronic Neurological 1989 – Present
Sr. Health Economics Manager, MGU therapies 2012 – present
• Responsible for field economic solutions for InterStim Therapy Urinary and InterStim Therapy for fecal incontinence.
• Worked with internal team from clinical, regulatory and marketing and developed a payer strategy and communication strategy
when Allergan received its idiopathic indication for OAB.
• Developed a payer analysis and initiated war games to develop field response for the market entrance of Botox. Educated
field sales with clinical and economic evidence relative to competitive therapies.
• Received coverage from all major payers to develop policy with the approval and launch of InterStim Therapy for fecal
incontinence. Reversed negative policy decisions for FI with Novitas and Palmetto.
• Worked with a cross functional team to develop the GU economic Value proposition.
• Developed a market analysis tool with the data analytics group called Hmap. Currently working with data analytics to add the
advanced targeting tool that will illustrate referral patterns in an organization as well as external to an organization.
• Developed and led HEM and field strategy for Medicare rate changes where bundling negatively affected payment for full
implants.
Sr. Health Economics Manager, All Neurological Therapies 2009 – 2011
Responsible for all Medtronic Neurological therapies for economic solutions to include Pain Management, Movement Disorders and
Gastro/Urology.
• Developed and executed financial analysis tools for facility reimbursement. The healthcare delivery model was changing.
• Developed and implemented the tools and presentation models for program development and program growth. Significant
revenue opportunities existed with in-office trialing of patients for pain management therapy.
• Spent significant time with facilities to develop models for payment and reimbursement that demonstrated positive contribution
margin for the facility to continue to grow and expand utilization.
Sr. Health Economics Manager, MGU 2004 – 2008
Responsible for Bravo, Enterra, Interstim and TUNA therapy field reimbursement solutions. Responsibility includes the training of
district sales force on the use of economic models, customized economic solutions dependent the business need. Responsible for
payment solutions for physicians and hospitals and coverage of MGU therapies with commercial as well as government agencies.
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2. Regional Manager, Medtronic Economic and Reimbursement Solutions 2001 – 2003
Responsible for hiring, training and managing of Medtronic Pain Therapy field reimbursement managers for both the Western and
Central regions. Budgetary planning and accountability, regional and state level payor initiatives and educational programs, project
coordination for policy revision plan for both Texas and California Worker’s Compensation. Manager of the year 2001 and 2002.
Therapy Access Consultant, Medtronic Economic and Reimbursement Solutions 1998 – 2001
Responsible for therapy specific insurance coverage and payment solutions for hospitals, physicians, payors and government
agencies. Covered all areas of Medtronic Neurological to include Pain Management, Movement Disorders and Gastro/Urology.
Accomplishments:
• FY 00 Star of Excellence Award Winner
• Achieved carve out from Oklahoma Medicaid for Intrathecal Baclofen Therapy
• Successfully achieved increases in fee schedules for MSO4 in AR, OK, KS
• Obtained Medicare LMRP for Interstim Therapy in AR, OK, and MO
• Obtained Medicare LMRP for Deep Brain stimulation Therapy in KS and MO
• Achieved device carve outs for pain management from United HealthCare and Blue Cross Blue
Shield
• Achieved Medicare case - by - case coverage for gastroparesis therapy in AR
• Obtained coverage for Interstim Therapy from BCBS of AR
• Obtained case-by-case coverage for Interstim Therapy from Mutual of Omaha
• Successfully implemented a pain management DSM program with BCBS of
• Kansas City resulting in RFP’s sent to physicians and facilities
Sales Representative, Medtronic Neurological 1989 – 1998
Developed and managed the St. Louis market and other large MSA’s for pain and spasticity therapies. Developed key implant centers
for DBS such as Barnes Hospital and St. Louis University.
Accomplishments:
• Top Performers Club FY 92, 93, 94, 95, 96
• Selected as Member of Sales Advisory Board FY 93 -98
Johnson & Johnson, Ethicon Division 1984 –1989
Divisional Manager 1989
Corporate Training Manager 1988 – 1989
Responsible for training of suture and stapling sales force expansion of 100 representatives. Worked closely with marketing and field
sales management, managed support staff.
Promoted to field sales trainer; trained 8 new representatives 1986 – 1988
Accomplishments:
• # 1 Full Line Territory in Nation
• Grew territory revenue from 1 million to 2.0 million
• Member of 150, 250, 500, 750k Sales Clubs
• Presidents Club Trip _ Rio de Janeiro
Sales Representative 1984 – 1986
Suture sales for the Central Illinois market. Promoted to full-line representative responsible internal stapling products sold to G.I., Colo-
rectal, and Thoracic surgeons.
EDUCATION
B.S., Biochemistry, Bradley University
M.A., Business and Marketing, Webster University
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