Associate Director, Field Reimbursement

This is a fully remote position, open to applicants in Iowa, +4 more states.

📋 Description

• Enhance access to Alnylam’s comprehensive product portfolio by ensuring provider accounts are well-informed about access and reimbursement dynamics.

• Recognize trends impacting access or reimbursement challenges and develop effective solutions.

• Collaborate with internal stakeholders and providers to facilitate patient treatment pathways.

• Interact with Intake/Authorization teams, billing compliance, Finance executives, Infusion Center management, decision-makers, and Pharmacy stakeholders.

• Identify, address, and provide education to resolve pending claim payment issues.

• Mentor and guide case managers and field reimbursement managers on intricate PA/Appeal matters.

• Offer case-specific PA/Appeal support and site-of-care options for the rare business segment.

• Maintain relationships with Medicare Administrative Contractors and oversee Local and National Coverage Determinations.

• Work together with Public Policy & Government Relations on MAC, local policies, and state-level public policy strategies.

• Utilize reporting dashboards to monitor essential metrics and KPIs.

• Ensure compliance with corporate and industry regulations in collaboration with Legal, Regulatory, and Compliance teams.

• Partner with internal and external stakeholders to implement strategic priorities.

⛳️ Requirements

• A Bachelor’s degree is required.

• A minimum of 5 years of prior experience in pharma/biotech or other relevant healthcare fields.

• At least 3 years of field reimbursement experience in “buy and bill,” ideally in rare diseases, oncology, specialty products, and/or infusions/injectables.

• Strongly preferred: Established connections with Medicare Administrative Contractors (MACs).

• Comprehensive understanding of the US payer landscape.

• In-depth knowledge of medical and pharmacy benefits across Medicare, Medicaid, commercial, VA/DoD, and other payer types.

• Familiarity with sites of care, including Hospital Outpatient Departments, free-standing centers, and home infusion.

• Capability to identify access and reimbursement obstacles and formulate effective resolution strategies.

• Excellent professional communication, interpersonal, and problem-solving skills for engaging with CFOs and other C-suite stakeholders.

• Ability to lead without authority in a highly collaborative matrix and fast-paced environment.

• Passion for rare diseases and alignment with Alnylam’s core values.

• Willingness to travel up to 50%.

• Must reside in the Great Lakes North region or within 75 miles of its boundary and be in 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.