Senior Reimbursement & Access Manager (Remote/Hybrid)

Xeris Pharmaceuticals, Inc.

Scottsdale, Northern (AZ, KY)

Hybrid

USD 104,000 - 166,000

Full time

14 days+
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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

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.

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