Rare Disease Reimbursement & Access Manager

Xeris Pharmaceuticals, Inc.; Knoxville (TN); Hybrid; USD 104,000 - 166,000; Full time

Job summary

Xeris Pharmaceuticals, Inc. is seeking a Reimbursement Access Manager II to lead initiatives ensuring timely access to rare disease therapies.

The role drives reimbursement strategies, educates providers, and partners across Patient Access and Sales to optimize payer policy execution. Ideal candidates have 5+ years in market access or reimbursement in pharma/biotech, strong knowledge of US payers, and a valid driver’s license.

Qualifications

• Bachelor's degree required; advanced degree in health policy, business, or life sciences a plus.
• 5+ years of experience in pharmaceutical/biotech market access or reimbursement roles.
• Strong understanding of U.S. healthcare reimbursement systems, including Medicare, Medicaid, and commercial payers.
• Knowledge of coding and billing processes relevant to rare disease treatments (e.g., J-codes, CPT, ICD-10).
• A valid, US state-issued driver’s license is required as occasional driving to client locations is a core requirement of this position.

Responsibilities

• 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 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

Market access experience

Cross-functional collaboration

U.S. healthcare reimbursement systems

Coding and billing (J-codes, CPT, ICD-

Education

Bachelor's degree

Advanced degree in health policy, business, or life sciences

Job description

Xeris Pharmaceuticals, Inc. is seeking a Reimbursement Access Manager II to lead initiatives ensuring timely access to rare disease therapies.

The role drives reimbursement strategies, educates providers, and partners across Patient Access and Sales to optimize payer policy execution. Ideal candidates have 5+ years in market access or reimbursement in pharma/biotech, strong knowledge of US payers, and a valid driver’s license.