Reimbursement Access Manager II - Southwest

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

Benefits offered by this job

Equity or long-term incentive awards

401(k) retirement benefits

401(k) retirement benefits

Equity or long-term incentive awards

Job summary

Xeris Pharmaceuticals, Inc. in Scottsdale, AZ seeks a Reimbursement Access Manager II to lead patient access and reimbursement initiatives for rare disease therapies. You will collaborate with field teams, manage payer relationships, and provide expert guidance on coding, prior authorizations, and denials to ensure timely patient access.

The role requires deep knowledge of U.S. reimbursement systems, hub services experience, and the ability to navigate complex payer policies.

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, preferably with a focus on rare diseases or specialty products.
• Strong understanding of U.S. healthcare reimbursement systems, including Medicare, Medicaid, and commercial payers.
• 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).
• Able to work cross-functionally and manage multiple priorities; valid US driver's license required.

Responsibilities

• Serve as the subject matter expert on reimbursement and access issues for 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 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 for rare disease.
• Support readiness activities for pipeline products, including developing access materials and reimbursement tools.
• Coach and mentor new team members and identify key HCPs needing support.

Skills

Market access

Reimbursement

Payer policies

Cross-functional collaboration

Project management

Communication skills

Analytical skills

Presentation skills

Problem solving

Customer service focus

Teamwork & Collaboration

Adaptability

Professionalism

Hub services

Education

Bachelor's degree required; advanced degree in health policy, business, or life sciences a plus

Advanced degree in health policy, business, or life sciences

Job description

## Reimbursement Access Manager II - SouthwestApply: Hybrid: REMOTE - Arizona: Full time: Posted 3 Days Ago: JR1135**Job Description:****Job Purpose**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#LI-REMOTEDirect Employers Posting: Scottsdale, AZ; Salt Lake City, UT; Santa Fe, NMThe anticipated base salary range for this position is $103,500 - $165,600 *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.* *Xeris Pharmaceuticals, Inc. (the “Company”) is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, veteran status, genetics or any other characteristic protected by law. All qualified candidates are given equal opportunity and the Company’s employment selection decisions are based solely on job-related factors. NOTE: This job description is not intended to be all-inclusive. The employee may be required to perform other related duties as needed to meet the ongoing needs of the Company.**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.*