Heart Failure Specialist
CardioMEMS / St Jude Medical - Atlanta, GA

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Job Title: Heart Failure Specialist, Senior
Division: Cardiac Rhythm Management Division

Job Summary: Briefly state the main purpose and scope of the job.

Working without appreciable supervision and at a high technical level, has primary responsibility for working with the heart failure and implanting physicians, nurses practitioners, heart failure multi-disciplinary team members as well as clinic staff to provide procedural and clinical expertise in medical management of the inpatient and outpatient heart failure patient. Designs and implements initial and advanced training programs for internal and external customers specific to the functions and applications of heart failure remote monitoring technology. Assesses the heart failure business and market development opportunities. Provides field support in the implementation of specific heart failure marketing and sales initiatives. Work requires the application of theoretical principles and creative/analytical techniques acquired in a recognized four-year or more academic course of study. Evaluates, identifies solutions, and resolves complex problems. Exercises technical judgment in planning, organizing, performing, coordinating and/or directing work assignments; reports status. Remains current on developments in field(s) of expertise, including regulatory requirements and knowledge of the company's products as well as department activities. Assures that quality of services meets or exceeds internal and external customer requirements. Identifies and routinely uses the most effective, cost efficient and best practices to execute processes; continually evaluates their effectiveness and appropriateness.

Essential Functions: Number and list the significant/essential duties, tasks or responsibilities which employees in this position are actually required to perform.

1. Researches/develops heart failure (HF) and hemodynamic monitoring educational curricula as well as implements training programs for internal/external customers. Evaluates the effectiveness of training as well as updates and revises as necessary.
2. Initiates and performs ongoing site training for physicians, nurse practitioners, nurses, multidisciplinary team members, clinic staff, and health care members across the continuum of care.
3. Coordinates and assists with area field-based implant training for the implanting physician and catheterization lab staff.
4. Working along with nurse practitioners, nurses, and other clinic staff, establishes clinic workflow, implements and provides follow-up support for the algorithmic approach to HF management based on American College of Cardiology Foundation (ACCF)/ American Heart Association (AHA) guidelines, and integrates remote care methodology.
5. Assists in identifying key HF opinion leaders and facilitates peer to peer education and association.
6. Develops and shares best practices, lessons learned, case studies, and patient management strategies via web conference, newsletters, Frequently Asked Questions (F AQ' s), etc.
7. Working with U.S. Sales Division (USD) area sales management, identifies opportunities to develop heart failure business in both new and existing SJM accounts. Remains current on the economics of heart failure management and inpatient/outpatient reimbursement guidelines.
8. Works with CRMD and USD marketing divisions to promote and implement specific heart failure initiatives.
9. Maintains regular, reliable, and predictable attendance. Complies with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments. Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.
10. Performs other essential functions and responsibilities as determined by the Company from time to time.
11. Work additional hours, days, or schedules (including other shifts, weekends, and/or holidays), if directed.

Other Duties: Number and list any important but non-essential and/or infrequent duties performed.

1. Remains current on developments in field(s) of expertise, heart failure clinical therapies, inpatient/outpatient reimbursement guidelines, applicable regulatory requirements and restrictions, and a general knowledge of the company's products, markets, policies, and objectives as well as industry trends. Analyzes and maintains an understanding of new scientific data in the context of the care of the heart failure patient by reviewing key literature, trade journals, being active in relevant professional associations, and by attending conferences/seminars.
Communicates relevant regulatory developments to colleagues and associates.
2. Identifies opportunities for product/feature development and communicates customer and market needs to CRMD product team.
3. Identifies and implements patient-centric programs to increase self-management, decrease heart failure exacerbation, and maintain adherence to evidence-based heart failure treatment plans.
4. Performs related functions and responsibilities, on occasion, as assigned.

Accountability/Supervision: Describe the significant problem solving/decision making responsibilities. Describe the type and extent of supervision received and exercised.

Working without appreciable supervision and at a high technical level, is fully accountable for identifying and analyzing heart failure educational needs within a designated area, for providing continuing as well as advanced heart failure education to Company sales representatives and customers, and for generating/developing strategies to support sales and increase market penetration through targeted, customized education programs for customers. Also accountable for functioning as the most senior HF hemodynamic monitoring and clinical management interface between the medical community and the assigned geographic territory. Generates creative and innovative education programs to enhance the effectiveness of marketing campaigns and increase customer interest in products. Uses best business practices that meet required department standards to ensure the success of work assignments and/or projects. Performs difficult assignments, developing solutions to a variety of complex problems that require originality and/or ingenuity. Devises own work methods to solve assigned problems. Works cooperatively as well as productively on assigned project teams. Proactively identifies and shares opportunities, concerns, and solutions with coworkers. Completes comprehensive reports and makes presentations. Identifies the components of assigned projects and allocates time appropriately based on priorities. Identifies relevant sources of information and utilizes them to make decisions. Tracks performance against specific objectives; contributions affect team/organization results. Applies initiative and judgment in accomplishing resolution of unusual situations; recommends supportable and timely changes as appropriate.

Relationships: Describe contacts and purpose of relationships.

Internal: Interfaces with personnel from CRM and USD Education Departments, Sales Representatives and Sales Management, CRM and USD Marketing, Field Clinical Engineers, Technical Services and the Medical Director. May participate on or lead work teams; may provide work direction or guidance to a group of employees and mentors less experienced employees. Participates on one or more teams. May mentor less experienced professionals; provides guidance to and collaborates with other professionals.

External: Interfaces with a variety of customers within the medical community, HF Physicians, Nurse Practitioners, Clinic Staff,
Implanting Physicians, and Catheterization Lab Staff Interacts on a daily basis with physicians, nurses and multidisciplinary team members involved in clinical trials for informational, troubleshooting, and training purposes.

Equipment: List the type of equipment the incumbent in this position is required to work with.

Works with Company products, slides, overhead projectors, computers, telecommunication systems, video discs, educational software, and such
standard office equipment as copiers, telephone, computer, specialized software, etc. Examines and manipulates Company products, as a part of training and for customer demonstration and instruction purposes. Operates an automobile for trips to different locations for training and education and sales and customer support, and to commute to various airports for commercial airline travel as necessary.

Working Conditions: Describe the work environment characteristics representative of those encountered by an employee performing the essential functions of this job.
Work environment varies from an air-conditioned office/cubicle, well lighted, low to moderate noise level, to a variety of conditions imposed by travel requirements such as customer offices, research laboratory, hospital facilities, hotels, the use of automobiles, commercial transportation, the weather, etc.

Physical Demands: Describe the physical demands representative of those that must be met by an employee to successfully perform the essential functions of this job.

A significant amount of travel to customer and vendor facilities using commercial transportation and/or an automobile. Extended time sitting, standing and walking. Significant use of hands and arms to reach, point, write, type, operate computers and office equipment, and operate an automobile. Lifting requirements such as moving and placing relatively light equipment normally do not exceed fifty pounds.

Qualifications: Describe the minimum education and experience, including knowledge, skills, and abilities, required to successfully perform the job. List any certificates, licenses, and/or registrations required.

Required: Bachelor's of Science Degree in Nursing (BSN) or a related academic field. A minimum of six plus years of experience in a clinical setting providing acute or outpatient care to patients with cardiovascular diseases. Must have demonstrated an in-depth expertise in the care of the heart failure patient to include an understanding of hemodynamic monitoring and heart failure medication, indications, dosing and titration. Demonstrated ability to influence and interact with credibility with Physicians and Nurse Practitioners. Understands and can use remote patient monitoring and workflow. Must be able to conduct needs assessment and design training programs. Demonstrated written and verbal communication, interpersonal, presentation, analytical, organizational skills, and the ability to meet deadlines. Demonstrated ability to present training programs to a varied audience (e.g., physicians, health care providers, employees, etc.). Strong personal computer skills (experience with Microsoft Office or equivalent required) including educational and presentation software technology. Ability to develop presentation materials. Must be able to maintain regular and predictable attendance.

Desired: An advanced degree such as a Nurse Practitioner (APRN) or licensed Physician Assistant is strongly preferred. Experience in lnterventional Cardiology; publications in the field of expertise; expertise in reimbursement coding and billing is also highly desired.


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