Field Reimbursement & Access Strategist

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

401(k) with match

Paid time off

Job summary

Alnylam Pharmaceuticals is seeking a Field Reimbursement Manager to serve as the access and coverage expert across a regional geography including Alaska, Washington, Oregon, Idaho, Montana, Wyoming, and Nebraska.

The FRM educates healthcare providers on reimbursement pathways, prior authorization, and payer processes, coordinating with Hub and field teams to support patient access and enrollment when needed. A bachelor’s degree and travel readiness are required.

Qualifications

• Bachelor’s degree required; equivalent experience may include 1.5+ years as a field reimbursement specialist, 2 years in specialty pharmaceutical medical benefit sales or 2+ years as a biologic coordinator or office practice manager.
• 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, including prior authorization, appeals, and payer-specific access processes.
• Knowledge of commercial payers, Medicare plans, and state Medicaid programs within the assigned geography.
• Valid driver’s license and ability to travel, including overnight and/or weekend travel as required.

Responsibilities

• Analyze payer criteria and access requirements across medical and pharmacy benefit designs.
• Demonstrate urgency in identifying and addressing access barriers that may affect time to treatment.
• Provide HCP offices with product access expertise, including education on reimbursement pathways, coverage requirements, prior authorization, appeals, and payer processes.
• Partner collaboratively with Alnylam colleagues to support consistent patient services education and coordinated field execution.
• Educate HCPs and office staff on Alnylam Assist enrollment, program offerings, missing information requirements, reimbursement resources, financial assistance, and Hub tools.
• Liaise with Specialty Pharmacy Account Liaisons, as appropriate, for products covered under the pharmacy benefit.
• Monitor and communicate relevant commercial, Medicare, Medicaid, and government payer coverage updates that may impact patient access in the assigned geography while being a subject matter expert on the relevant payers in the territory.

Education

Bachelor’s degree

Job description

Alnylam Pharmaceuticals is seeking a Field Reimbursement Manager to serve as the access and coverage expert across a regional geography including Alaska, Washington, Oregon, Idaho, Montana, Wyoming, and Nebraska.

The FRM educates healthcare providers on reimbursement pathways, prior authorization, and payer processes, coordinating with Hub and field teams to support patient access and enrollment when needed. A bachelor’s degree and travel readiness are required.