Patient Access Manager II - Central
Xeris Pharmaceuticals, Inc. · Texas, United States · 1 mo ago
RemoteRemoteHealthcare$104k–$166k/yrFull-time
We need to output HTML fragment with sections only if real content. Use for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. Must include only sections with real content.
We need to parse job description.
Key sections:
- Job Purpose (maybe About the role). Could map to "About the role". Provide paragraph summarizing purpose.
- Essential Job Functions (Responsibilities). Provide list of duties.
- Skills And Qualifications (maybe Qualifications and Skills). Could separate: Qualifications (education, experience) and Skills (competencies). We'll decide.
- Working Conditions (maybe Schedule? Actually schedule includes travel, evening/weekend, overnight travel, up to 10% travel). Could be under Schedule or Working Conditions. We have Schedule heading allowed. We'll put travel info there.
- Pay: salary range $103,500 - $165,600 plus mention of bonus, equity, etc. We'll include Pay section.
- Benefits: mention comprehensive benefits package: PTO, health/vision/dental, 401k, etc. Also mention eligibility for bonus/equity etc. We'll include Benefits.
- Possibly also "Qualifications" separate from Skills. We'll include Qualifications (education, experience) and Skills (competencies). Or combine.
We must not include boilerplate: EEO, E-Verify, accommodation, etc. Remove duplicated lines.
We must preserve all substantive info; not invent.
Let's extract substantive content:
Job Purpose paragraph: "The Patient Access Manager (PAM) II - Neurology (Central) is a non-sales regional, field-based position that will work directly with patients, families, and their provider(s) to address barriers, through information and education, to patient starting on therapy and staying on therapy, if appropriate. This role demonstrates superior customer facing skills working directly with multiple external and internal stakeholders including patients, prescribers, and advocacy groups. The PAM II is a subject matter expert in navigating insurance coverage and assisting in securing reimbursement through prior authorizations and appeals. The PAM II will also provide patient education, disease state and product education as well as general support for the patients and their caregivers. This role will appropriately interact and engage internal and external with teams but will serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy. This position will also serve as the primary source for all regional patient advocacy activities. The PAM II will leverage his/her overall business acumen, therapeutic area knowledge, and patient access expertise to provide developmental guidance to their Patient Access Manager I colleagues."
Essential Job Functions list: bullet points (some run-on). Let's break:
- Upon confirming a valid consent, meet and work closely with patients/families to work through the steps required to gain access to therapy (insurance navigation, understanding of payer policy and procedure for prior authorization, denial appeals, disease and product education, site of care logistics, and other support services).
- Provide education and information through the prior authorization/appeal processes and coordinate the delivery of appropriate documentation to achieve and maintain coverage.
- Complete a comprehensive assessment of the individual needs of the patient. This assessment will include understanding the individual’s payer policies, plan designs, including Medicaid coverage if applicable, as well as the healthcare system local to the patient.
- Develop and offer solutions to the family, when necessary, that may also include communication of alternative insurance options and how families can best connect to available resources including charitable organizations such as PAF and NORD.
- Appropriately interact with and engage internal teams including commercial and medical and external teams including patients and/or their caregivers; payers; specialty pharmacy, physician offices, charitable organizations and patient advocacy organizations.
- Serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy.
- Provide support for the caregivers and collaborate with them in a way that allows for forward progress.
- Be knowledgeable of any changes in the payer access environment to identify issues that may impact access and communicate information appropriately to colleagues.
- Facilitate rare disease network/relationships through local advocacy groups, rare disease related events, and attending national conferences.
- Support organizing and participating in patient-to-patient meetings and programs.
- Maintains up-to-date knowledge on product resources available to support patients/caregivers at the regional level and applies this knowledge in a way that supports patient care.
- Offers 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.
- Coaches and mentors new members of the team.
Skills And Qualifications:
- BS/BA or relevant four-year degree. Advanced degree preferred.
- Minimum of 5 years’ total business experience in the healthcare or biotech industry with at least 3 years’ field-based experience in account management, sales, or field reimbursement.
- Experience working directly with patients and caregivers and in rare disease experience a plus.
- A deep understanding of insurance products and medication reimbursement process with a successful track record in field reimbursement, clinical education or in pharmaceutical sales/management of products that required significant payer and reimbursement involvement.
- Seasoned, mature pharmaceutical/biotech professional with a comprehensive understanding of field / patient reimbursement, charitable funding, non-profit organizations.
- Experience leading cross functionally and influencing without authority.
- Case management experience in rare disease a plus including experience dedicated to assisting patients/caregivers.
- Must be familiar with relevant legal and regulatory environment in biotech industry such as the Food Drug and Cosmetic Act, Anti-Kickback Stature, HIPAA and other patient privacy guidance and regulations.
- Competencies: Written and Verbal Communications, Problem Solving, Presentation skills, Teamwork & Collaboration, Customer Service focus, Teamwork & Collaboration (duplicate), 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 10%.
Pay:
- The 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.
- 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.
We need Benefits section: talk about comprehensive benefits package: PTO, health/vision/dental, 401k, etc. Also mention bonus/equity? Might be considered compensation but we can include in Benefits.
We must not include boilerplate like EEO, accommodation, E-Verify, etc.
We must not repeat job title as heading.
We must not include Job ID/requisition numbers.
We must not include duplicated lines.
We must not create sections with filler like "commensurate with experience". We have actual content.
We need to decide which headings to use: About the role, Responsibilities, Qualifications, Skills, Benefits, Pay, Schedule. Possibly also "Working Conditions" but we have Schedule heading for travel/evening/weekend.
We'll map:
- About the role: Job Purpose paragraph.
- Responsibilities: Essential Job Functions list (as
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title. Must include only sections with real content.
We need to parse job description.
Key sections:
- Job Purpose (maybe About the role). Could map to "About the role". Provide paragraph summarizing purpose.
- Essential Job Functions (Responsibilities). Provide list of duties.
- Skills And Qualifications (maybe Qualifications and Skills). Could separate: Qualifications (education, experience) and Skills (competencies). We'll decide.
- Working Conditions (maybe Schedule? Actually schedule includes travel, evening/weekend, overnight travel, up to 10% travel). Could be under Schedule or Working Conditions. We have Schedule heading allowed. We'll put travel info there.
- Pay: salary range $103,500 - $165,600 plus mention of bonus, equity, etc. We'll include Pay section.
- Benefits: mention comprehensive benefits package: PTO, health/vision/dental, 401k, etc. Also mention eligibility for bonus/equity etc. We'll include Benefits.
- Possibly also "Qualifications" separate from Skills. We'll include Qualifications (education, experience) and Skills (competencies). Or combine.
We must not include boilerplate: EEO, E-Verify, accommodation, etc. Remove duplicated lines.
We must preserve all substantive info; not invent.
Let's extract substantive content:
Job Purpose paragraph: "The Patient Access Manager (PAM) II - Neurology (Central) is a non-sales regional, field-based position that will work directly with patients, families, and their provider(s) to address barriers, through information and education, to patient starting on therapy and staying on therapy, if appropriate. This role demonstrates superior customer facing skills working directly with multiple external and internal stakeholders including patients, prescribers, and advocacy groups. The PAM II is a subject matter expert in navigating insurance coverage and assisting in securing reimbursement through prior authorizations and appeals. The PAM II will also provide patient education, disease state and product education as well as general support for the patients and their caregivers. This role will appropriately interact and engage internal and external with teams but will serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy. This position will also serve as the primary source for all regional patient advocacy activities. The PAM II will leverage his/her overall business acumen, therapeutic area knowledge, and patient access expertise to provide developmental guidance to their Patient Access Manager I colleagues."
Essential Job Functions list: bullet points (some run-on). Let's break:
- Upon confirming a valid consent, meet and work closely with patients/families to work through the steps required to gain access to therapy (insurance navigation, understanding of payer policy and procedure for prior authorization, denial appeals, disease and product education, site of care logistics, and other support services).
- Provide education and information through the prior authorization/appeal processes and coordinate the delivery of appropriate documentation to achieve and maintain coverage.
- Complete a comprehensive assessment of the individual needs of the patient. This assessment will include understanding the individual’s payer policies, plan designs, including Medicaid coverage if applicable, as well as the healthcare system local to the patient.
- Develop and offer solutions to the family, when necessary, that may also include communication of alternative insurance options and how families can best connect to available resources including charitable organizations such as PAF and NORD.
- Appropriately interact with and engage internal teams including commercial and medical and external teams including patients and/or their caregivers; payers; specialty pharmacy, physician offices, charitable organizations and patient advocacy organizations.
- Serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy.
- Provide support for the caregivers and collaborate with them in a way that allows for forward progress.
- Be knowledgeable of any changes in the payer access environment to identify issues that may impact access and communicate information appropriately to colleagues.
- Facilitate rare disease network/relationships through local advocacy groups, rare disease related events, and attending national conferences.
- Support organizing and participating in patient-to-patient meetings and programs.
- Maintains up-to-date knowledge on product resources available to support patients/caregivers at the regional level and applies this knowledge in a way that supports patient care.
- Offers 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.
- Coaches and mentors new members of the team.
Skills And Qualifications:
- BS/BA or relevant four-year degree. Advanced degree preferred.
- Minimum of 5 years’ total business experience in the healthcare or biotech industry with at least 3 years’ field-based experience in account management, sales, or field reimbursement.
- Experience working directly with patients and caregivers and in rare disease experience a plus.
- A deep understanding of insurance products and medication reimbursement process with a successful track record in field reimbursement, clinical education or in pharmaceutical sales/management of products that required significant payer and reimbursement involvement.
- Seasoned, mature pharmaceutical/biotech professional with a comprehensive understanding of field / patient reimbursement, charitable funding, non-profit organizations.
- Experience leading cross functionally and influencing without authority.
- Case management experience in rare disease a plus including experience dedicated to assisting patients/caregivers.
- Must be familiar with relevant legal and regulatory environment in biotech industry such as the Food Drug and Cosmetic Act, Anti-Kickback Stature, HIPAA and other patient privacy guidance and regulations.
- Competencies: Written and Verbal Communications, Problem Solving, Presentation skills, Teamwork & Collaboration, Customer Service focus, Teamwork & Collaboration (duplicate), 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 10%.
Pay:
- The 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.
- 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.
We need Benefits section: talk about comprehensive benefits package: PTO, health/vision/dental, 401k, etc. Also mention bonus/equity? Might be considered compensation but we can include in Benefits.
We must not include boilerplate like EEO, accommodation, E-Verify, etc.
We must not repeat job title as heading.
We must not include Job ID/requisition numbers.
We must not include duplicated lines.
We must not create sections with filler like "commensurate with experience". We have actual content.
We need to decide which headings to use: About the role, Responsibilities, Qualifications, Skills, Benefits, Pay, Schedule. Possibly also "Working Conditions" but we have Schedule heading for travel/evening/weekend.
We'll map:
- About the role: Job Purpose paragraph.
- Responsibilities: Essential Job Functions list (as - ).
- Qualifications: Education and experience requirements (BS/BA, years experience, etc.) maybe also include legal/regulatory familiarity? Could be part of Qualifications.
- Skills: Competencies list (Written and Verbal Communications, Problem Solving, etc.) plus maybe "Experience leading cross functionally..." but that's more experience. We'll keep skills as competencies.
- Benefits: Comprehensive benefits package (PTO, health/vision/dental, 401k, etc.) plus mention of bonus/equity? Might be compensation but we can include.
- Pay: Base salary range and notes about starting pay determination, equity, bonus, commission.
- Schedule: Travel up to 10%, periodic evening/weekend work, overnight travel.
We must avoid duplication: The benefits mention also equity/bonus; but we also have Pay section mentioning equity/bonus. Might be okay but we should avoid repeating same info. Perhaps Benefits only includes PTO, health/vision/dental, 401k, etc. Pay includes salary range, bonus, equity, commission.
Let's extract benefits: "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."
Also mention: "Employees are eligible for equity or long-term incentive awards, where applicable." That's compensation but could be benefits. We'll put in Pay.
"Field Sales role employees are eligible for a quarterly commission structure. Non-Sales role employees are eligible for an annual bonus." That's compensation.
Thus Benefits: PTO, health/vision/dental, 401k.
Pay: base salary range, starting pay determination, equity/long-term incentive, quarterly commission (if sales) but this role is non-sales, so annual bonus. We'll mention that non-sales role employees eligible for annual bonus.
Schedule: periodic evening and weekend work, periodic overnight travel, ability to travel up to 10%.
Now produce HTML.
We must not include markdown fences. Just raw HTML.
Let's craft:
About the role
...
Responsibilities
- ...
...
Qualifications
- BS/BA or relevant four-year degree; advanced degree preferred.
- Minimum of 5 years’ total business experience in the healthcare or biotech industry with at least 3 years’ field‑based experience in account management, sales, or field reimbursement.
- Experience working directly with patients and caregivers; rare disease experience a plus.
- Deep understanding of insurance products and medication reimbursement process with a successful track record in field reimbursement, clinical education, or pharmaceutical sales/management of products requiring significant payer and reimbursement involvement.
- Seasoned pharmaceutical/biotech professional with comprehensive understanding of field/patient reimbursement, charitable funding, and non‑profit organizations.
- Experience leading cross‑functionally and influencing without authority.
- Case management experience in rare disease a plus, including experience dedicated to assisting patients/caregivers.
- Familiarity with relevant legal and regulatory environment in the biotech industry (Food, Drug and Cosmetic Act, Anti‑Kickback Statute, HIPAA, and other patient privacy regulations).
Skills
- Written and verbal communications
- Problem solving
- Presentation skills
- Teamwork & collaboration
- Customer service focus
- Adaptability
- Professionalism
Benefits
- Paid time off
- Health, vision, and dental insurance
- 401(k) retirement plan
Pay
The anticipated base salary range is $103,500 – $165,600. Starting pay is determined based on role‑related knowledge, skills, experience, education, internal equity, market data, and location. Employees are eligible for equity or long‑term incentive
About the role
...
Responsibilities
- ... ...
Qualifications
- BS/BA or relevant four-year degree; advanced degree preferred.
- Minimum of 5 years’ total business experience in the healthcare or biotech industry with at least 3 years’ field‑based experience in account management, sales, or field reimbursement.
- Experience working directly with patients and caregivers; rare disease experience a plus.
- Deep understanding of insurance products and medication reimbursement process with a successful track record in field reimbursement, clinical education, or pharmaceutical sales/management of products requiring significant payer and reimbursement involvement.
- Seasoned pharmaceutical/biotech professional with comprehensive understanding of field/patient reimbursement, charitable funding, and non‑profit organizations.
- Experience leading cross‑functionally and influencing without authority.
- Case management experience in rare disease a plus, including experience dedicated to assisting patients/caregivers.
- Familiarity with relevant legal and regulatory environment in the biotech industry (Food, Drug and Cosmetic Act, Anti‑Kickback Statute, HIPAA, and other patient privacy regulations).
Skills
- Written and verbal communications
- Problem solving
- Presentation skills
- Teamwork & collaboration
- Customer service focus
- Adaptability
- Professionalism
Benefits
- Paid time off
- Health, vision, and dental insurance
- 401(k) retirement plan
Pay
The anticipated base salary range is $103,500 – $165,600. Starting pay is determined based on role‑related knowledge, skills, experience, education, internal equity, market data, and location. Employees are eligible for equity or long‑term incentive