Job Description:The Reimbursement Access Manager II will play a critical role in ensuring patients have timely and sustained access to Xeris' rare disease therapies. This individual will lead initiatives to address reimbursement challenges, support healthcare providers and patients with access and reimbursement needs and collaborate cross-functionally to enhance payer strategy execution. The ideal candidate has deep expertise in rare disease market dynamics, strong knowledge of U.S. reimbursement systems, and a passion for making a difference in patients' lives.
Essential Job Functions- Serve as the subject matter expert on reimbursement and access issues impacting the company's rare disease products.
- Develop and execute strategies to overcome reimbursement and access barriers at the patient and provider level.
- Partner with field-based teams (e.g., Patient Access, Sales) to provide reimbursement education and support to healthcare providers.
- Manage relationships with specialty pharmacy partners to ensure efficient patient access.
- Track and analyze reimbursement trends, payer policy changes, and competitive landscape to inform market access strategies.
- Respond to reimbursement-related inquiries from internal and external stakeholders with speed and accuracy.
- Collaborate with the patient services team to resolve escalated patient access issues.
- Provide training to internal teams on reimbursement processes, coding, prior authorizations, denials, appeals, and payer policy nuances specific to rare disease.
- Support readiness activities for pipeline products, including developing access support materials and reimbursement tools.
- Offer subject matter expertise on trends, compliance, and other disciplines that impact the Patient Access role to help elevate the overall performance of the Patient Access team.
- Support the identification and implementation of strategies and programs that help the Patient Access team be maximally effective in their roles.
- Coach and mentor new members of the team.
- Identify key HCPs in need of additional support and conduct in-person meetings.
- Facilitate quarterly business reviews for high touch offices and provide detailed presentations
Skills and Qualifications- Bachelor's degree required; advanced degree in health policy, business, or life sciences a plus. Candidates with significant related experience (20+ years) in reimbursement, market access or patient access support may be considered in lieu of a bachelor's degree.
- 5+ years of experience in pharmaceutical/biotech market access or reimbursement roles, preferably with a focus on rare diseases or specialty products.
- Strong understanding of U.S. healthcare reimbursement systems, including Medicare, Medicaid, and commercial payers.
- Demonstrated experience working with HUB services, payer policies, specialty pharmacies, and patient support programs.
- Knowledge of coding and billing processes relevant to rare disease treatments (e.g., J-codes, CPT, ICD-10).
- Proven ability to work cross-functionally and manage multiple priorities in a fast-paced, evolving environment.
- A valid, US state-issued driver's license is required as occasional driving to client locations is a core requirement of this position.
- Competencies: Written and Verbal Communications, Analytical skills, Problem Solving, Presentation skills, Teamwork & Collaboration, Customer Service focus, Teamwork & Collaboration, Adaptability, Professionalism
Working Conditions- Position may require periodic evening and weekend work, as necessary to fulfill obligations. Periodic overnight travel.
- Ability to Travel up to 25%. Travel may include air and ground travel to HCP locations, and company meetings
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Direct Employers Posting: Knoxville, TN; Birmingham, AL; Miami, FL; Tampa; FL
The anticipated base salary range for this position is $103,500 - $138,000.
We are committed to offering competitive compensation. Starting pay is determined based on a variety of factors, including the role, job-related knowledge, skills, experience, education, internal equity, market data, and the location of the role, where applicable.
The level of the position will be determined based on the selected candidate's qualifications and experience. Final determination of the actual base salary offered depends on several factors, including but not limited to the candidate's skills, experience, education, location, and business needs. Employees are eligible for equity or long-term incentive awards, where applicable. Field Sales role employees are eligible for a quarterly commission structure. Non-Sales role employees are eligible for an annual bonus. The Company also offers a comprehensive benefits package that includes additional elements such as paid time off benefits, various health, vision, and dental insurance options, 401(k) retirement benefits and more for eligible employees. Details about these and other offerings will be provided at the time a conditional offer of employment is made. Candidates are always welcome to inquire about our compensation and benefits package during the interview process. Individuals hired as temporary employees, interns, and preceptors are not eligible for commissions, bonuses, and/or long-term incentive or equity awards. Eligibility for other benefits will be based on plan documents.
Accessibility & Reasonable AccommodationsIf, because of a medical condition or disability, you require a reasonable accommodation or assistance to complete any part of the application process, please send an e-mail to [redacted] and identify the type of accommodation or assistance you are requesting. Please include the job requisition number in your message. Please note if your request is not for this stated purpose, you will not receive a response to your email. Do not include any medical or health information in this email.
