Talent.com
Field Reimbursement Manager - North Central (IN, MI)

Field Reimbursement Manager - North Central (IN, MI)

Alnylam PharmaceuticalsFresno, CA, US
1 day ago
Job type
  • Full-time
Job description

Field Reimbursement Manager - North Central (IN, MI)

This role is considered Virtual.

Responsibilities

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.

  • 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
  • 3 years' experience as a field reimbursement specialist, biologic coordinator / Clinic practice manager or relevant reimbursement experience
  • 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
  • About Alnylam : Alnylam Pharmaceuticals (Nasdaq : ALNY) has led the translation of RNA interference (RNAi) into a whole new class of innovative medicines with the potential to transform the lives of people afflicted with rare and more prevalent diseases. Based on Nobel Prize-winning science, RNAi therapeutics represent a powerful, clinically validated approach to treating diseases at their genetic source by "interfering" with mRNA that cause or contribute to disease. Since our founding in 2002, Alnylam has led the RNAi Revolution and continues to turn scientific possibility into reality.

    Our culture : Our people-first culture is guided by our core values : fiercely innovative, open culture, purposeful urgency, passion for excellence, and commitment to people, and these values influence how we work and the business decisions we make. Thanks to feedback from our employees over the years, we've been fortunate to be named a top employer around the world. Alnylam is extremely proud to have been recognized as the #1 Large Employer by Boston Globe Top Places to Work in 2023 for the third consecutive year, one of Science Magazine's Top Biopharma Employers, one of America's Most Responsible Companies for 2024 by Newsweek, a Fast Company Best Workplace for Innovators, and a Great Place to Work in Canada, France, Italy, Spain, Switzerland, and UK among others.

    At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. We are dedicated to building an environment where employees can feel that they belong, can bring their authentic selves to work, and achieve to their full potential. By empowering employees to embrace their unique differences at work, our business grows stronger with advanced and original thinking, allowing us to bring groundbreaking medicines to patients. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, ethnicity, marital status, protected veteran status, disability, or any other characteristics prohibited by law.

    Nearest Major Market : Cambridge

    Nearest Secondary Market : Boston

    Create a job alert for this search

    Field Reimbursement Manager • Fresno, CA, US

    Related jobs
    • Promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    MCKESSONCA, United States
    Full-time
    McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare.We are known for delivering insights, products, and services that make quality care more accessibl...Show moreLast updated: 30+ days ago
    • Promoted
    Discovery RN

    Discovery RN

    CampusRNMadera, California, United States
    Full-time
    JOB SUMMARY : This position is accountable for providing competent nursing care and is responsible for coordination of the patient’s plan of care though assessment planning, implementati...Show moreLast updated: 4 days ago
    • Promoted
    Travel Registered Nurse (RN) - Pediatrics - $2,634 per week in Madera, CA

    Travel Registered Nurse (RN) - Pediatrics - $2,634 per week in Madera, CA

    TravelNurseSourceMadera, CA, US
    Full-time +1
    TravelNurseSource is working with Focus Staff to find a qualified Pediatrics RN in Madera, California, 93637!.Pediatric Registered Nurse for a travel contract in Madera, CA.The ideal candidate will...Show moreLast updated: 10 days ago
    • Promoted
    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    U.S. Customs and Border ProtectionHuron, CA, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 1 day ago
    • Promoted
    Radiation Oncologist Needed for Locum Tenens Coverage at Facility in Lodi, California

    Radiation Oncologist Needed for Locum Tenens Coverage at Facility in Lodi, California

    LocumTenens.comFriant, CA, US
    Full-time
    Job Reference Id : ORD-203632-MD-CA.Dates Needed : As needed, sporadic coverage for when their perm doc is on vacation.Board Certification Required : Yes. An outpatient cancer center is seeking a Ra...Show moreLast updated: 1 day ago
    • Promoted
    Travel Registered Nurse (RN) - Rehab - $2,331 to $2,585 per week in Madera, CA

    Travel Registered Nurse (RN) - Rehab - $2,331 to $2,585 per week in Madera, CA

    TravelNurseSourceMadera, CA, US
    Full-time
    TravelNurseSource is working with LRS Healthcare to find a qualified Rehab RN in Madera, California, 93636!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package,...Show moreLast updated: 10 days ago
    • Promoted
    United States Border Patrol Agent

    United States Border Patrol Agent

    U.S. Customs and Border ProtectionLanare, CA, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 4 days ago
    • Promoted
    Travel Rehab RN

    Travel Rehab RN

    Fusion Medical StaffingMadera, CA, US
    Full-time
    Facility in Madera, California.Fusion Medical Staffing is seeking a skilled Rehab RN for a 13-week travel assignment in Madera, California. As a member of our team, you'll have the opportunity t...Show moreLast updated: 1 day ago
    • Promoted
    Travel Nurse RN - Rehabilitation

    Travel Nurse RN - Rehabilitation

    Host HealthcareMadera, CA, US
    Full-time
    Host Healthcare is seeking a travel nurse RN Rehabilitation for a travel nursing job in Madera, California.Job Description & Requirements. Pay package is based on 12 hour shifts and 34 hours per...Show moreLast updated: 14 days ago
    • Promoted
    Travel Pediatric Rehab Registered Nurse - $2,873 per week

    Travel Pediatric Rehab Registered Nurse - $2,873 per week

    Prime StaffingMadera, CA, US
    Full-time +1
    Prime Staffing is seeking a travel nurse RN Long Term Care for a travel nursing job in Madera, California.Job Description & Requirements. Active State or Compact RN License.All time-off requests mus...Show moreLast updated: 1 day ago
    • Promoted
    Dermatologist Needed for Locum Tenens Coverage at Facility Near Greater San Francisco, California

    Dermatologist Needed for Locum Tenens Coverage at Facility Near Greater San Francisco, California

    LocumTenens.comFriant, CA, US
    Full-time
    Job Reference Id : ORD-202740-MD-CA.Dates Needed : Dec 2025-Feb 2026.Board Certification Required : Yes.A private practice is seeking a dermatologist for locum tenens coverage.The facility is locat...Show moreLast updated: 1 day ago
    • Promoted
    Territory Sales Specialist

    Territory Sales Specialist

    Syneos Health / inVentiv Health Commercial LLCVisalia, CA, United States
    Full-time
    The Territory Sales Specialist (TSS) will meet and or exceed sales performance objectives in an assigned territory by developing, implementing, and executing an integrated territory business plan e...Show moreLast updated: 27 days ago
    • Promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border ProtectionAuberry, CA, US
    Full-time
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    Travel Home Health Registered Nurse – Central Line & Mediport - $3,132 per week

    Travel Home Health Registered Nurse – Central Line & Mediport - $3,132 per week

    Medical SolutionsMadera, CA, US
    Full-time
    Medical Solutions is seeking a travel nurse RN Home Health for a travel nursing job in Madera, California.Job Description & Requirements. We’re seeking talented healthcare professionals whose advent...Show moreLast updated: 16 hours ago
    • Promoted
    Travel Registered Nurse (RN) - Rehab - $2,557 to $2,736 per week in Madera, CA

    Travel Registered Nurse (RN) - Rehab - $2,557 to $2,736 per week in Madera, CA

    TravelNurseSourceMadera, CA, US
    Full-time
    TravelNurseSource is working with Host Healthcare to find a qualified Rehab RN in Madera, California, 93636!.Host Healthcare is an award-winning travel healthcare company with an immediate opening ...Show moreLast updated: 1 day ago
    • Promoted
    Registered Nurse (RN) - Home Health Care Manager

    Registered Nurse (RN) - Home Health Care Manager

    Adventist HealthArmona, CA, US
    Full-time
    Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Armona, California.Job Description & Requirements. Our home health and hospice agencies are loca...Show moreLast updated: 16 days ago
    • Promoted
    Registered Nurse

    Registered Nurse

    U.S. NavyBiola, CA, US
    Full-time +1
    To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you wo...Show moreLast updated: 4 days ago
    • Promoted
    Personal Service Coordinator / Case Manager III - Bilingual Preferred

    Personal Service Coordinator / Case Manager III - Bilingual Preferred

    Turning Point of Central CaliforniaTulare, CA, United States
    Full-time
    Turning Point of Central California, Inc.For over 50 years now, we have been transforming lives across the state of California. From Mental Health to Community Corrections, Children's Services, Hous...Show moreLast updated: 30+ days ago