Associate Director, Field Reimbursement

Alnylam Pharmaceuticals•Minneapolis, IA

6d•Remote

About The Position

Reporting to the Field Reimbursement Director, Lead, the Associate Director, Field Reimbursement optimizes access to Alnylam products in the Great Lakes North territory by addressing reimbursement and patient access challenges. The role uses technical expertise to deliver educational and reimbursement in-service programs across sites of care, including medical offices, alternative infusion centers, and hospital outpatient departments. It manages access and reimbursement issues by initiating and leading action plans, while building and deepening relationships with access- and reimbursement-focused stakeholders at strategic accounts. Extensive knowledge of buy-and-bill products and experience with high-touch specialty products are essential. The Field Reimbursement Team works closely with National Account Leads, Health Systems Directors, Regional Account Leads, Site of Care Directors, Patient Services, the broader Reimbursement team, and Sales. The Associate Director collaborates with internal and external stakeholders to develop tactical plans that execute strategic priorities and support Alnylam’s patient-focused vision. The Great Lakes North territory covers North Dakota, South Dakota, Minnesota, Iowa, and Wisconsin. Alnylam is a leader in RNAi therapeutics, an approach with potential to transform the lives of people with rare and common diseases. The company describes its culture as inclusive and guided by fierce innovation, passion for excellence, purposeful urgency, openness, and commitment to people. Alnylam states that it is an equal opportunity employer and an E-Verify Employer.

Requirements

Bachelor’s degree.
At least 5 years of pharma/biotech or other related and relevant healthcare experience.
At least 3 years of field reimbursement experience in buy-and-bill, preferably in rare disease, oncology, specialty products, and/or infusions or injectables.
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 such as hospital outpatient departments, freestanding centers, and home infusion.
Ability to identify access and reimbursement barriers to treatment and design effective resolution plans.
Exceptional professional communication, interpersonal, and problem-solving skills to interact with decision-makers, including CFOs and other C-suite stakeholders.
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 be reasonably close to a mid-size or larger airport.

Nice To Haves

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

Responsibilities

Optimize access to the full Alnylam product portfolio by ensuring provider accounts understand access and reimbursement dynamics.
Identify trends that affect access or reimbursement and develop solutions to address them.
Work with internal stakeholders and providers to support patient treatment pathways.
Engage account stakeholders, including intake and authorization teams, billing compliance, finance executives, revenue cycle and revenue integrity teams, infusion center management and decision-makers, and pharmacy stakeholders.
Identify, address, and provide 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 disease 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 concerning 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 Alnylam Legal, Regulatory, and Compliance.

Benefits

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.
Eligibility for an annual short-term incentive award, such as a bonus or sales incentive.
Eligibility for an annual long-term incentive award, such as equity.