Associate Director, Field Reimbursement

Alnylam Pharmaceuticals • Minneapolis, MN

7d • $174,300 - $235,700 • Remote

About The Position

The Associate Director, Field Reimbursement reports to the Field Reimbursement Director, Lead, and optimizes access to Alnylam products within the Great Lakes North territory, which includes North Dakota, South Dakota, Minnesota, Iowa, and Wisconsin. The role addresses reimbursement and patient access challenges by delivering educational reimbursement in-service programs across sites of care and leading action plans to resolve access and reimbursement issues.

The position builds and deepens relationships with access- and reimbursement-focused stakeholders at strategic accounts. It works collaboratively with internal and external stakeholders—including National Account Leads, Health Systems Directors, Regional Account Leads, Site of Care Directors, Patient Services, the broader Reimbursement team, and Sales—to develop tactical plans that advance strategic priorities and support patient-focused care. Extensive knowledge of buy-and-bill products and experience with high-touch specialty products are essential.

The role also supports complex prior authorization and appeal cases, monitors Medicare coverage policies, tracks performance metrics, and ensures compliance with corporate and industry policies. The position is remote and requires residence in the territory or within 75 miles of its boundary, with reasonable proximity to a mid-size or larger airport. Travel may be up to 50%.

Requirements

• Bachelor’s degree required.
• At least 5 years of prior pharma/biotech or other related and relevant healthcare experience.
• At least 3 years of field reimbursement experience in buy-and-bill.
• Deep understanding of buy-and-bill products and prior experience with high-touch specialty products.
• Strong knowledge of the U.S. payer landscape.
• Deep understanding of medical and pharmacy benefits across payer types, including Medicare, Medicaid, commercial, and VA/DoD, and across sites of care, including hospital outpatient departments, freestanding centers, and home infusion.
• Ability to identify key access and reimbursement barriers to treatment and design effective resolution plans.
• Exceptional professional communication, interpersonal, and problem-solving skills for interacting with decision-makers, including CFO and other C-suite stakeholders.
• Demonstrated ability to lead without authority in a highly collaborative, matrixed, and fast-paced environment.
• Self-starter enthusiastic about rare disease and Alnylam’s core values.
• Ability to travel up to 50%.
• Must reside in the territory or within 75 miles of its boundary and have reasonable proximity to a mid-size or larger airport.

Nice To Haves

• Field reimbursement experience in rare disease, oncology, specialty products, and/or infusions or injectables.
• Established relationships with Medicare Administrative Contractors (MACs).

Responsibilities

• Optimize access to the full Alnylam product portfolio by ensuring provider accounts understand access and reimbursement dynamics.
• Identify trends that create barriers to access or reimbursement and develop solutions.
• Work with internal stakeholders and providers to support patient treatment pathways.
• Engage account stakeholders, including intake and authorization teams, billing compliance, finance executives in revenue cycle and revenue integrity, infusion center management and decision-makers, and pharmacy stakeholders.
• Identify, address, and support education to resolve outstanding claim payment issues.
• Provide mentorship and guidance to case managers and field reimbursement managers on complex, case-specific prior authorization and appeal issues.
• Provide case-specific prior authorization and appeal support and site-of-care options for the rare business.
• Maintain relationships with Medicare Administrative Contractors (MACs) to optimize coverage for Alnylam therapies and monitor Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs).
• Work with the Public Policy & Government Relations team on engagement strategies and tactics related to MACs, local policy changes, and state-level public policy initiatives.
• Use reporting dashboards to track critical metrics and key performance indicators.
• Ensure compliance with corporate and industry policies in collaboration with Legal, Regulatory, and Compliance.

Benefits

• Eligible for an annual short-term incentive award, such as a bonus or sales incentive, and an annual long-term incentive award, such as equity.
• Medical, dental, and vision coverage.
• Life and disability insurance.
• Lifestyle reimbursement program.
• Flexible spending and health savings accounts.
• 401(k) with a generous company match.
• Paid time off, wellness days, and holidays.
• Two company-wide recharge breaks.
• Family resources and leave.

What This Job Offers

• Job Type: Full-time
• Career Level: Director