Reimbursement Access Lead – Rare Disease

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

Job summary

Xeris Pharmaceuticals, Inc. is seeking a Reimbursement Access Manager II to lead strategies ensuring timely access to rare disease therapies. You will serve as a subject matter expert on reimbursement and access issues and collaborate with field teams to educate providers and support patient access.

The role requires 5+ years in market access or reimbursement, deep knowledge of U.S. payer systems, HUB services, coding, and a willingness to travel up to 25%.

Qualifications

• Bachelor's degree required; advanced degree in health policy, business, or life sciences a plus.
• 5+ years 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.
• Experience 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).
• Willingness to travel up to 25% and work in a hybrid/remote setup.

Responsibilities

• Serve as subject matter expert on reimbursement and access issues impacting rare disease products.
• Develop and execute strategies to overcome reimbursement and access barriers at 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.
• Respond to reimbursement-related inquiries from internal and external stakeholders.
• Collaborate with patient services to resolve escalated patient access issues.
• Provide training to internal teams on reimbursement processes and payer policy nuances.
• Support readiness activities for pipeline products with access materials and tools.
• Coach and mentor new team members and identify key HCPs needing support.
• Facilitate quarterly business reviews for high-touch offices with detailed presentations.

Skills

Written and Verbal Communications

Analytical skills

Problem Solving

Presentation skills

Teamwork & Collaboration

Customer Service focus

Adaptability

Professionalism

Education

Bachelor's degree

Advanced degree in health policy, business, or life sciences

Tools

J-codes

CPT

ICD-10

Job description

Xeris Pharmaceuticals, Inc. is seeking a Reimbursement Access Manager II to lead strategies ensuring timely access to rare disease therapies. You will serve as a subject matter expert on reimbursement and access issues and collaborate with field teams to educate providers and support patient access.

The role requires 5+ years in market access or reimbursement, deep knowledge of U.S. payer systems, HUB services, coding, and a willingness to travel up to 25%.