Field Reimbursement Director - Ohio Valley (Ohio, Western PA)

Field Reimbursement Director - Ohio Valley (Ohio, Western PA)

Reporting to the Field Reimbursement Director, Lead, the Field Reimbursement Director will optimize access to Alnylam products in his / her region by understanding and addressing reimbursement and patient access challenges. This position requires a professional who can leverage his / her technical expertise and experience to deliver educational, reimbursement in-service programs to all sites of care (Medical Doctors Office, Alternative Infusion Centers, Hospital Outpatient Department, etc.) and manage access and reimbursement issues by initiating as well as leading action plans to resolve these issues.

A key component of this role is the ability to establish and deepen customer relationships through quality interactions with access and reimbursement focused external stakeholders at targeted strategic accounts. As such, extensive knowledge of 'buy and bill' products and prior experience with high-touch, specialty products is essential.

The Field Reimbursement Team will be a critical component of the commercial strategy and work in close coordination with National Account Leads (NALs), Strategic Account Leads (SALs), Regional Account Leads (RALs), Patient Services, Broader Reimbursement team and Sales to support Alnylam's patient-focused vision of harnessing a revolution in biology for human health.

The successful candidate must be passionate about science and deeply motivated by the quest of delivering value to patients with the long-term success of the company in mind. He / she will work collaboratively with both internal and external stakeholders to build tactical plans to execute strategic imperatives.

Key Responsibilities

• Optimizes access to the full Alnylam portfolio of products by ensuring that provider accounts understand access and reimbursement dynamics
• Proactively identifies trends impacting barriers to access or reimbursement and creates solutions
• Works with internal stakeholders and providers to support treatment pathways for patients
• Proactively engages with key stakeholders in accounts, including Intake / Authorization teams, billing compliance, Finance executives (Revenue Cycle, Revenue Integrity), Infusion Center management and decision-makers and key Pharmacy Stakeholders
• Responsible for identifying, addressing and resolving outstanding claim payment issues
• Provides guidance to case managers on case-specific complex PA / Appeal issues
• Collaborates with case managers on treatment site finding for the specialty business when there are no site of care options available in the treatment directory
• Provides case-specific PA / Appeal support and site of care options for the rare business
• Maintains relationships with Medicare Administrative Contractors (MACs) to optimize coverage for Alnylam therapies and monitors Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
• Works with Public Policy & Government Relations team on engagement strategies and tactics regarding MACs or local policy changes as well as state-level public policy initiatives
• Utilizes reporting dashboards to track critical metrics and key performance indicators (KPIs)
• Ensures compliance with all corporate and industry policies in collaboration with Alnylam Legal, Regulatory and Compliance

Qualifications

U.S. Pay Range

$195,500.00 - $264,500.00

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.

About Alnylam

We are the leader in RNAi therapeutics a revolutionary approach 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 possible and 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, where an authentic, inclusive culture and breakthrough thinking fuel 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.