Field Reimbursement Director - DMV (DE, MD, VA)

Alnylam Pharmaceuticals; United States; Hybrid; USD 120,000 - 160,000; Full time

Job summary

A leading biopharmaceutical company is seeking a Field Reimbursement Director for the DMV area, focusing on optimizing access and addressing reimbursement challenges. This role requires a minimum of 10 years in pharma/biotech, strong knowledge of the US payer landscape, and excellent communication skills. You’ll work closely with internal teams and external stakeholders to ensure patient access to critical therapies. A commitment to innovative healthcare and travel up to 75% is expected.

Qualifications

• 10+ years in pharma/biotech, with 3+ years in patient access or reimbursement.
• Strong understanding of the US payer landscape.
• Ability to lead in a collaborative, fast-paced environment.

Responsibilities

• Optimize access to products by addressing reimbursement dynamics.
• Identify trends impacting barriers to reimbursement.
• Ensure compliance with corporate and industry policies.

Skills

Pharma/Biotech Experience

Patient Access Knowledge

Communication Skills

Problem-Solving Skills

Collaboration Ability

Job description

Overview

Field Reimbursement Director – DMV (DE, MD, VA) role at Alnylam Pharmaceuticals. The position focuses on optimizing access to Alnylam products by addressing reimbursement and patient access challenges, delivering educational and reimbursement in-service programs to sites of care, and leading action plans to resolve access issues. The role emphasizes building customer relationships with external stakeholders, particularly in high-touch, high-cost specialty products, and collaborating with cross-functional teams to support patient access and treatment pathways.

Key Responsibilities

• Optimize access to Alnylam products by ensuring provider accounts understand access and reimbursement dynamics.
• Proactively identify trends impacting barriers to access or reimbursement and create solutions.
• Work with internal stakeholders and providers to support treatment pathways for patients.
• Address and resolve outstanding claim payment issues.
• Provide guidance to case managers on case-specific complex PA/Appeal issues.
• Collaborate with case managers on treatment site finding when no site of care options are available in the treatment directory.
• Provide case-specific PA/Appeal support and site of care options for the rare business.
• Maintain relationships with Medicare Administrative Contractors (MACs) and monitor LCDs and NCDs.
• Collaborate with Public Policy & Government Relations on engagement strategies regarding MACs and state-level policy initiatives.
• Utilize reporting dashboards to track critical metrics and KPIs.
• Ensure compliance with corporate and industry policies in collaboration with Legal, Regulatory and Compliance teams.

Qualifications

• Minimum of 10+ years in pharma/biotech, including 3+ years in patient access or reimbursement.
• Buy and bill experience preferred.
• Rare disease experience preferred.
• Established relationships with MACs highly preferred.
• Strong knowledge of the US payer landscape.
• Deep understanding of medical and pharmacy benefits across payer types (Medicare, Medicaid, commercial, VA/DoD, etc.) and sites of care (Hospital Outpatient Department, free-standing centers, home infusion).
• Proven ability to identify key access barriers and design effective resolution plans.
• Excellent communication, interpersonal, and problem-solving skills for interactions with decision makers.
• Ability to lead in a collaborative, matrixed, fast-paced environment.
• Self-starter with passion for rare disease and alignment with Alnylam values: innovative, open culture, purposeful urgency, excellence, and commitment to people.
• Ability to travel up to 75%.
• Must reside in Delaware, Maryland, or Virginia.

About Alnylam

We are a leader in RNAi therapeutics—transforming lives through Nobel Prize-winning science. Our deep pipeline and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture, and commitment to people. Alnylam is a globally recognized employer with an authentic, inclusive culture and breakthrough thinking.

Equal Employment Opportunity

At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. Qualified applicants will be considered regardless of sex, gender or gender identity, sexual orientation, race, color, ethnicity, national origin, ancestry, citizenship, religion, creed, disability, pregnancy status, genetic information, veteran or military status, marital status, political affiliation, age, or other legally protected status. Alnylam is an E-Verify employer.