Associate Director, Case Management Lead

Alnylam Pharmaceuticals

7d

About The Position

Associate Director Case Management
Reports to: Director, TTR Case Management Lead
The Associate Director, TTR Regional Lead (Central) is responsible for product patient support and provider services inclusive of reimbursement operations, and patient compliance support to ensure timely and efficient access to therapy and ongoing assistance for patients and providers. This individual will support the Director of Patient Services with a focus on scanning/monitoring internal program data daily for accuracy and consistency, identifying issues/trends, and developing plans of action to continuously improve program performance. This individual will also deliver a positive patient and healthcare provider experience by assessing needs and developing action plans that identify and troubleshoot future reimbursement barriers to support treatment initiation and ensure continuity of care throughout the patient treatment journey. This individual will have [2-3] Regional Manager direct reports, and will report to the Director, National Case Manager Lead.
Summary of Key Responsibilities (may vary)
This description is not intended to provide an all-inclusive listing of duties and responsibilities. Duties may change at the discretion of management, and/or management may request duties to be performed that are not listed.

Requirements

• Bachelor’s Degree required
• 8+ years recent experience in the healthcare or pharmaceutical/biotech industry. Ultra-rare disease experience a plus. Familiarity with patient and provider support services
• Previous management experience required
• Knowledge of private payer, Medicare, and Medicaid structure, systems, and reimbursement process
• Proficiency in all aspects of patient reimbursement, (i.e., benefit investigations, prior authorization and appeal process, payer reimbursement policies and procedures, regulatory and administrative rules, etc.)
• Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com
• Proven experience and successful track record leading, developing and coaching teams
• Ability to work effectively across functions (field/marketing/medical affairs/patient advocacy/managed markets/legal/compliance)
• Ability to communicate and influence effectively with all levels of the organization (verbal, written and presentation skills)
• Patient-centric and customer service minded
• Possess strong critical thinking, problem solving, and analytical skills with attention to detail
• Ability to work independently, facilitate appropriate judgment in decision making as well as function as a team player
• Desire to innovate and work in a fast-paced, energetic environment
• Self-starter who is highly passionate about rare disease and Alnylam’s core values: Commitment to People, Innovation, Discovery, Sense of Urgency, Open Culture, and Passion for Excellence
• Ability to travel up to 10% for key meetings as needed

Nice To Haves

• Ultra-rare disease experience a plus

Responsibilities

• Lead a team of Regional TTR Managers within Alnylam Assist™ organization
• Collaborate with cross-functional stakeholders to implement program improvements, departmental standard operating procedures, policies as they relate to assigned Alnylam products; participate on various cross-functional teams, representing Patient Services team to ensure customer success for staff and patients
• Identify regional trends and drive the development and implementation of short- and long-term strategies
• Utilization of expertise in areas related to healthcare reimbursement and Patient Assistance Programs
• Remain current with market trends in both provider and patient services landscape through regular research, interactions with brand management and involvement to ensure that all patient service’s activities reflect actual business/organizational needs while meeting the needs of the target audience and maintaining highest quality of service
• Maintain and support the evolvement of Alnylam Assist™ Patient Support Services as the Alnylam disease state portfolio grows
• Interact with Field Roles, Patient Marketing, Patient Advocacy and Payer Marketing to gather insights to identify resources needed related to program offerings
• Partner with the Executive Sales and Field Reimbursement Leads to align on regional strategic initiatives and optimize team performance through coordinated planning, execution, and performance analysis
• Collaborate with internal stakeholders to develop and maintain appropriate KPIs, SLAs, and dashboards to track critical metrics to ensure targets are met
• Identify and address, in collaboration with Regional Managers, training, performance, and competency needs to ensure achievement of business objectives, including team development opportunities
• Continuously assess performance and work environment needs against business need. Identify external and internal factors impacting performance and develop a plan to address
• Represent Patient Services in the development and Regulatory/Legal review of Alnylam Assist™ materials intended to be used with providers, patients, and caregivers
• High sense of urgency, knowledge of protocol in dealing with requests and issues, and utmost confidentiality, when required
• Proven Self-Starter with high standards of excellence and an innovative mind; drive development and implementation of program enhancements and operational efficiencies
• Complies with all corporate policies, internal procedures and training and applicable laws and industry codes in collaboration with Alnylam Legal, Regulatory and Compliance
• Expertise in Patient Assistance Program systems, processes, policies, and industry standards

Benefits

• 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
• generous family resources and leave

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees