Field Reimbursement Lead — Access & Strategy

Alnylam Pharmaceuticals, Inc.; Madison (MN); Presencial; USD 174.000 - 236.000; Jornada completa

Descripción de la vacante

Alnylam Pharmaceuticals seeks an Associate Director, Field Reimbursement to optimize patient access across the Great Lakes North region (MN/ND/SD/IA/WI). You will lead reimbursement strategies, educate sites of care, and collaborate with cross-functional teams to resolve access challenges and ensure timely treatment for patients.

The role requires deep payer landscape knowledge, strong relationship skills with MACs and providers, and willingness to travel up to 50%.

Formación

• Bachelor’s degree required.
• 5+ years pharma/biotech or other healthcare experience.
• 3+ years field reimbursement in buy and bill for rare disease, oncology, specialty products or infusions.
• Established relationships with Medicare Administrative Contractors (MACs) preferred.
• Strong knowledge of the US payer landscape across medical and pharmacy benefits.
• Willingness to travel up to 50%.
• Residence within geography or within 75 miles of a mid-size or larger airport.

Responsabilidades

• Optimizes access to the full Alnylam portfolio by ensuring provider accounts understand access and reimbursement dynamics.
• Identifies trends impacting barriers to access or reimbursement and creates solutions.
• Works with internal stakeholders and providers to support treatment pathways for patients.
• Engages with key stakeholders in accounts— Intake/Authorization, billing, revenue cycle, infusion center management, and payers.
• Addresses and supports education to resolve outstanding claim payment issues.
• Mentors case managers and field reimbursement team on PA/Appeal issues.
• Provides site-of-care options for rare business and PA/Appeal support.
• Maintains relationships with MACs and monitors LCDs/NCDs.
• Collaborates with Policy & Government Relations on MAC strategies and state policy initiatives.
• Uses dashboards to track KPIs and ensure compliance with policies.

Conocimientos

Payer landscape expertise

Stakeholder relationships

Strategic planning

Cross-functional collaboration

Excellent communication

Educación

Bachelor’s degree

Descripción del empleo

Alnylam Pharmaceuticals seeks an Associate Director, Field Reimbursement to optimize patient access across the Great Lakes North region (MN/ND/SD/IA/WI). You will lead reimbursement strategies, educate sites of care, and collaborate with cross-functional teams to resolve access challenges and ensure timely treatment for patients.

The role requires deep payer landscape knowledge, strong relationship skills with MACs and providers, and willingness to travel up to 50%.