Field Reimbursement Manager - Great Lakes North

Alnylam Pharmaceuticals; South Dakota; On-site; USD 90,000 - 150,000; Full time

Job summary

Alnylam Pharmaceuticals is seeking a Field Reimbursement Manager to serve as the reimbursement subject matter expert for our products. You will educate healthcare providers and office staff on reimbursement pathways, coverage requirements, and prior authorization processes while partnering with field sales, hub resources, and regional leadership.

You will analyze payer criteria across medical and pharmacy benefit designs, monitor updates from commercial Medicare/Medicaid payers, and coordinate

Qualifications

• Experience navigating prior authorization and appeals processes for pharmacy and medical benefit coverage.
• Knowledge of commercial payers, Medicare plans, and state Medicaid programs within the assigned geography.
• Strong collaboration with field sales, leadership, and hub teams.

Responsibilities

• Educate HCP offices on reimbursement pathways, coverage requirements, prior authorization, appeals, and payer processes.
• Analyze payer criteria and access requirements across medical and pharmacy benefit designs.
• Partner with colleagues to ensure consistent patient services education and field execution.

Skills

Prior Authorization

Payer Requirements

HCP Education

Cross-functional Collaboration

Travel

Education

Bachelor’s degree

Equivalent experience

Tools

Hub Tools

Job description

Overview: The Field Reimbursement Manager (FRM) serves as the access and coverage subject matter expert for Alnylam products. The FRM educates healthcare providers (HCPs) and office staff on reimbursement processes, payer requirements, coverage considerations, and patient support resources to help support appropriate patient access. This role assesses access-related barriers, partners closely with field sales and regional leadership, and coordinates with the Hub on individual patient cases, including referrals, enrollment support, missing information, and overall case coordination. The FRM collaborates cross-functionally with the Field Reimbursement Director, Field Sales, Patient Services Case Management, matrix partners, and Specialty Pharmacy Account Liaisons while operating in accordance with all applicable corporate, industry, and compliance policies and procedures.

Analyze payer criteria and access requirements across medical and pharmacy benefit designs.

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.

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.

Proven experience working with Hubs and strong understanding of 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.

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. 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. 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. Learn more about these and additional benefits offered by Alnylam by visiting the Benefits section of the Careers website: