Field Reimbursement Manager - Houston, TX

The Field Reimbursement Manager (FRM) will operate as the subject-matter expert on access, and coverage issues affecting Alnylam products. They will educate HCPs and their staff on matters related to access and coverage to facilitate appropriate patient access. The FRM will analyze access issues and act as the subject matter expert regarding payer policy and process for other field sales force personnel and regional management. They will coordinate with the Hub concerning individual patient cases including patient support services referrals to enrollment, and overall coordination. The FRM will need to collaborate cross functionally with Field Reimbursement Director, Field Sales, Patient Services Case Management as well as other matrix partners and Specialty Pharmacy Account Liaisons while abiding by all corporate and industry policy and procedures. Territory will include Houston, TX, as well as coverage of Louisiana and Arkansas.

Responsibilities

• Analyze payer criteria
• Provide offices product access expertise
• Demonstrates a strong collaborative approach with other Alnylam colleagues and aids in patient support services education to field teams etc.
• Provide education to HCPs and staff related to Alnylam Assist enrollment into program offers, including supporting missing information

• Demonstrates purposeful sense of urgency to minimize access barriers that improves time to treatment
• Liaise as needed with Specialty Pharmacy Liaisons for pharmacy benefit products
• Educate HCPs on processes, procedures and appeals requirements of payer organizations (local payers, government payers, etc.)
• Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid)
• Answer questions about coverage, ICD-10 codes of product, including patient-specific access questions
• Educate and update HCPs on key private and public payer coverage and changes that impact the products access for patients
• Support patient access to the products by providing subject matter expertise on access issues that may be barriers to product access in a manner that complies with policies, processes, and standard operating procedures
• Educate HCPs and their practice personnel on the products Hub program including reimbursement, financial assistance and Hub tools (e.g. provider portal tool, copay tracking, forms)
• Demonstrate knowledge of and communicate information about resources and forms available for access and reimbursement
• Demonstrate strong verbal communication skills and issue prioritization related to account management

Requirements

• BS/BA Degree required or 1.5 years experience as a field reimbursement specialist or 3 year experience as a biologic coordinator/office practice manager
• Experience navigating Prior Authorization process for pharmacy and medical benefit coverage
• Cardiology or Rare Disease preferred
• Proven experience working with Hubs, deep understanding of Hub activities and possesses in-depth knowledge on issues related to prior authorization / appeals across different payer types
• Experience with Knowledge of commercial payers, Medicare plans and state Medicaid in geographic region
• Valid driver's license and the ability to travel, including overnights and/or weekends

U.S. Pay Range

$123,300.00 - $166,800.00

The pay range reflects the full-time base salary range we expect to pay for this role at the time of posting. Base pay will be determined based on a number of factors including, but not limited to, relevant experience, skills, and education. 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. We also offer generous family resources and leave. Our commitment to your well-being reflects our belief that caring for our people fuels the impact we create together.

Learn more about these and additional benefits offered by Alnylam by visiting the Benefits section of the Careers website: https://www.alnylam.com/careers

AboutAlnylam

We are the leader in RNAi therapeutics- a revolutionaryapproach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possibleand are just at the beginning of what's possible. 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. We're proud to be a globally recognized top employer, wherean authentic, inclusive culture and breakthrough thinkingfuel one another.

At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. 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.