Associate Director, Field Reimbursement

🔥 0 minutes ago

🌾 Iowa, North Dakota, +3 more states – Remote

🌾 Iowa – Remote 🌾 North Dakota – Remote ❄️ Minnesota – Remote 🗿 South Dakota – Remote 🧀 Wisconsin – Remote

💵 $174.3k - $235.7k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 0%

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Alnylam Pharmaceuticals

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2002

🧬 Biotechnology

💊 Pharmaceuticals

🏥 Healthcare

💰 $661.3M Post-IPO Debt on 2025-09

Biotechnology • Pharmaceuticals • Healthcare

Alnylam Pharmaceuticals is a biopharmaceutical company that pioneers RNA interference (RNAi) therapeutics to silence disease-causing genes. The company develops RNAi-based medicines across rare and prevalent diseases, with a pipeline, approved products, and manufacturing capabilities focused on delivering transformational treatments (e. g. , for amyloidosis, acute hepatic porphyria, and primary hyperoxaluria). Alnylam emphasizes scientific innovation, patient-centered development, and corporate responsibility.

📋 Description

• Optimize access to Alnylam’s full portfolio of products by ensuring provider accounts understand access and reimbursement dynamics • Identify trends affecting access or reimbursement barriers and create solutions • Work with internal stakeholders and providers to support patient treatment pathways • Engage Intake/Authorization teams, billing compliance, Finance executives, Infusion Center management, decision-makers, and Pharmacy stakeholders • Identify, address, and support education to resolve outstanding claim payment issues • Mentor and guide case managers and field reimbursement managers on complex PA/Appeal issues • Provide case-specific PA/Appeal support and site-of-care options for the rare business • Maintain relationships with Medicare Administrative Contractors and monitor Local and National Coverage Determinations • Collaborate with Public Policy & Government Relations on MAC, local policy, and state-level public policy strategies • Use reporting dashboards to track critical metrics and KPIs • Ensure compliance with corporate and industry policies in collaboration with Legal, Regulatory, and Compliance • Collaborate with internal and external stakeholders to execute strategic imperatives

🎯 Requirements

• Bachelor’s degree required • 5+ years prior pharma/biotech or other related and relevant healthcare experience • 3+ years of field reimbursement experience in “buy and bill,” preferably in rare disease, oncology, specialty products and/or infusions/injectables • Established relationships with Medicare Administrative Contractors (MACs) highly preferred • Strong knowledge of the US payer landscape • Deep understanding of medical benefit and pharmacy benefit across Medicare, Medicaid, commercial, VA/DoD, and other payer types • Understanding of sites of care including Hospital Outpatient Department, free-standing centers, and home infusion • Ability to identify access and reimbursement barriers and design effective resolution plans • Professional communication, interpersonal, and problem-solving skills for interacting with CFO and other C-suite stakeholders • Ability to lead without authority in a highly collaborative matrix and fast-paced environment • Enthusiasm about rare disease and Alnylam’s core values • Ability to travel up to 50% • Must reside in the Great Lakes North geography or within 75 miles of its boundary and have reasonable proximity to a mid-size or larger airport

🏖️ Benefits

• Annual short-term incentive award (e.g., bonus or sales incentive) • Annual long-term incentive award (e.g., equity) • Medical coverage • Dental coverage • Vision coverage • Life insurance • Disability insurance • Lifestyle reimbursement program • Flexible spending accounts • Health savings accounts • 401(k) with a generous company match • Paid time off • Wellness days • Holidays • Two company-wide recharge breaks • Family resources and leave

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