Associate Case Manager

Alnylam Pharmaceuticals, Inc.; Northern (KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Alnylam Pharmaceuticals, Inc. is seeking an Associate Case Manager to join our US Patient Services team. You will collaborate with Case Managers to ensure access and therapy management services for Alnylam’s products, while handling day-to-day operations and maintaining data accuracy.

The role emphasizes payer interactions, benefits verification, and workflow coordination in a fast-paced environment. A bachelor’s degree and healthcare experience are required, with opportunities for growth within

Qualifications

• Bachelor's degree required and relevant healthcare experience.
• Experience in customer service, case management or a healthcare setting.
• Familiarity with private payer, Medicare and Medicaid structures.

Responsibilities

• Verify and re-verify insurance coverage and benefits with payers.
• Receive referrals and maintain fax workflow and data entry.
• Process patient information while protecting confidentiality according to policy.
• Navigate CRM platform and support case-management collaboration.
• Support sites of care and assist in authorization processes.

Skills

Customer service

Case management

Healthcare experience

Rare disease knowledge

Communication skills

Education

Bachelor's Degree

Tools

CRM software

Job description

Our Patient Services team provides exceptional customer service on all levels. The Associate Case Manager role is a integral component of the commercial strategy and responsible for working collaboratively with Case Managers to complete tasks that will provide access and therapy management services for Alnylam’s portfolio of products. Reporting to Regional Manager, US Patient Services, the Associate Case Manager will be responsible for a variety of day-to-day operations. The description below is not intended to provide an all-inclusive listing of duties and responsibilities. Duties may change at the discretion of management, and/or management may request duties be performed that are not listed.

Key Responsibilities

• Verify and re-verify insurance coverage policies and benefit details through direct contact with payers
• Receive incoming referrals from providers, via fax queue (or other means)
• Maintain workflow of clearing, sorting, and distribution of incoming faxes
• Ability to prioritize work duties to maintain customer satisfaction through prompt and efficient service
• Accurately interprets patient insurance, prescription, and other health related documentation
• Enter and maintain accurate data on individuals, their insurance, and all payer interactions
• Send Summary of Benefits to Providers and Field Reimbursement Directors
• Research and identify payer Prior Authorization Processes and obtain necessary documents and requirements to disseminate to Case Management Team
• Submit and Track referrals to Specialty Pharmacies, as needed
• Maintain up-to-date knowledge of the reimbursement process, billing/coding guidelines, healthcare policy, payer trends
• Participate in projects and/or assignments including, but not limited to, QC initiatives, interdepartmental projects, etc.
• Demonstrate adaptability and flexibility; seek out opportunities to support your teammates
• Navigate customer-relationship management (CRM) platform in daily interations and learn internal team processes for full understanding of Alnylam’s Patient Services
• Maintain confidentiality of patient health information and act in compliance with all laws, regulations, and Alnylam Company policies
• Outreach to Sites of Care related to initial and ongoing treatment

Qualifications

• Bachelor’s Degree required
• 1-2 years of experience with customer service, account management, case management, or healthcare field experience
  • rare disease experience preferred
• Knowledge of private payer, Medicare, and Medicaid structure, systems, reimbursement process and medical terminology
• Experience working in a high-volume patient services program preferred
• Effective communication, ability to think critically and problem solve
• Willingness to learn and adapt quickly in a fast-paced environment
• Ability to work cooperatively as a team member and have well-developed interpersonal skills
• Self-starter who is highly passionate about rare disease and Alnylam’s core values:
  • Commitment to People, Innovation, Discovery, Sense of Urgency, Open Culture, and Passion for Excellence

About Alnylam

We are the leader in RNAi therapeutics– a revolutionaryapproach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possibleand are just at the beginning of what’s possible. Our deep pipeline, late-stage programs, and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture and commitment to people. We're proud to be a globally recognized top employer, wherean authentic, inclusive culture and breakthrough thinkingfuel one another.

At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. Qualified applicants will receive consideration for employment without regard to their sex, gender or gender identity, sexual orientation, race, color, ethnicity, national origin, ancestry, citizenship, religion, creed, physical or mental disability, pregnancy status or related conditions, genetic information, veteran or military status, marital or familial status, political affiliation, age, or any other factor protected by federal, state, or local law. Alnylam is an E-Verify Employer.

Before applying, please review Alnylam's Candidate Privacy Notice regarding how Alnylam handles Personal Data you provide with your application for employment.

The pay range below reflects the full-time base salary range we expect to pay for this role at the time of posting. Base pay will be determined based on a number of factors including, but not limited to, relevant experience, skills, and education. This role is eligible for an annual short-term incentive award (e.g., bonus or sales incentive) and an annual long-term incentive award (e.g., equity).

Alnylam’s robust Total Rewards package is designed to support your overall health and well-being. We offer comprehensive benefits including medical, dental, and vision coverage, life and disability insurance, a lifestyle reimbursement program, flexible spending and health savings accounts and a 401(k)with a generous company match. Eligible employees enjoy paid time off, wellness days, holidays, and two company-wide recharge breaks. We also offer generous family resources and leave. Our commitment to your well-being reflects our belief that caring for our people fuels the impact we create together.

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State Specific Applicant Notices

• Arizona Applicants: To the extent required by applicable law, the Company maintains a smoke-free workplace.
• Maryland Applicants
  • UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.
  • The Company considers this Application for Employment to be a part of the personnel record.
• Massachusetts (MA) Applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability
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