Associate Case Manager

Alnylam Pharmaceuticals; United States; On-site; USD 74,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, and vision

Life and disability insurance

401(k) with company match

Paid time off

Wellness days

Holidays

Two recharge breaks

Job summary

Alnylam Pharmaceuticals is seeking an Associate Case Manager in the United States to support the Patient Services team. You will verify insurance coverage, handle referrals, manage payer interactions, and ensure accurate data entry while maintaining confidentiality and compliance.

The role emphasizes collaboration with Case Managers, rate with full benefits, and eligibility for incentive awards. A bachelor’s degree and healthcare exposure are required, with rare disease experience preferred.

Qualifications

• Bachelor’s degree required.
• 1–2 years in customer service, account management, case management, or healthcare field experience.
• Knowledge of private payer, Medicare, Medicaid structure, and reimbursement processes.
• Experience in high-volume patient services programs preferred.
• Excellent communication and problem‑solving skills.

Responsibilities

• Verify and re-verify insurance coverage and benefits with payers.
• Receive referrals from providers and manage fax queues.
• Maintain workflow of clearing, sorting, and distribution of faxes.
• Interpret patient insurance, prescriptions, and related docs accurately.
• Maintain data on individuals, insurance, and payer interactions in CRM.

Skills

Customer service

Account management

Healthcare terminology

Communication skills

Problem solving

Education

Bachelor’s Degree

Tools

CRM software

Data entry

Job description

Overview

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 collaboratlively 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 is 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

U.S. Pay Range

$74,000.00 - $100,100.00

The pay range 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.

Benefits

• medical, dental, and vision coverage
• life and disability insurance
• a lifestyle reimbursement program
• flexible spending and health savings accounts
• 401(k)with a generous company match
• paid time off
• wellness days
• holidays
• two company-wide recharge breaks
• generous family resources and leave

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.

Learn more about these and additional benefits offered by Alnylam by visiting the Benefits section of the Careers website: https://www.alnylam.com/careers

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.