Access & Reimbursement Field Specialist

Alnylam Pharmaceuticals, Inc.; Salem (OR); On-site; USD 123,000 - 167,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Life and disability insurance

401(k) with company match

Paid time off and holidays

Job summary

Alnylam Pharmaceuticals seeks a Field Reimbursement Manager to act as the access and coverage SME for our RNAi products. You will educate HCPs and staff on reimbursement, assist with prior authorizations, and coordinate with field teams to resolve enrollment and coverage issues in a multi-state territory including AK, WA, OR, ID, MT, WY and NE.

You will partner with Field Reimbursement Director, Field Sales, and Hub teams to ensure compliant patient access and up-to-date payer insights across

Qualifications

• Bachelor's degree required; equivalent experience may include 1.5+ years as a field reimbursement specialist.
• Experience navigating prior authorization and appeals processes for pharmacy and medical benefit coverage.
• Cardiology or rare disease experience preferred.
• Proven experience working with Hubs and understanding hub activities.
• Knowledge of commercial payers, Medicare plans, and state Medicaid programs in the geography.
• Valid driver's license and ability to travel, including overnight/weekend travel.

Responsibilities

• Analyze payer criteria and access requirements across medical and pharmacy benefit designs.
• Address access barriers to minimize time to treatment.
• Educate HCP offices on reimbursement pathways, coverage requirements, prior authorization, appeals, and payer processes.
• Collaborate with field colleagues to support patient services education and field execution.
• Educate on enrollment, programs, missing information, reimbursement resources, and hub tools.
• Liaise with Specialty Pharmacy Account Liaisons for pharmacy-covered products.
• Monitor payer coverage updates in the assigned geography.

Skills

Prior authorization experience

Payer process navigation

HCP education support

Travel willingness

Education

Bachelor's degree

Job description

Alnylam Pharmaceuticals seeks a Field Reimbursement Manager to act as the access and coverage SME for our RNAi products. You will educate HCPs and staff on reimbursement, assist with prior authorizations, and coordinate with field teams to resolve enrollment and coverage issues in a multi-state territory including AK, WA, OR, ID, MT, WY and NE.

You will partner with Field Reimbursement Director, Field Sales, and Hub teams to ensure compliant patient access and up-to-date payer insights across