Field Reimbursement Manager - Great Lakes North

Overview:

The Field Reimbursement Manager (FRM) serves as the access and coverage subject matter expert for Alnylam products. The FRM educates healthcare providers (HCPs) and office staff on reimbursement processes, payer requirements, coverage considerations, and patient support resources to help support appropriate patient access. This role assesses access-related barriers, partners closely with field sales and regional leadership, and coordinates with the Hub on individual patient cases, including referrals, enrollment support, missing information, and overall case coordination. The FRM collaborates cross-functionally with the Field Reimbursement Director, Field Sales, Patient Services Case Management, matrix partners, and Specialty Pharmacy Account Liaisons while operating in accordance with all applicable corporate, industry, and compliance policies and procedures.

Great Lakes North Region: This territory covers North Dakota, South Dakota, Minnesota, Iowa, and Wisconsin.

Key Responsibilities: 

• Analyze payer criteria and access requirements across medical and pharmacy benefit designs.
• Demonstrate urgency in identifying and addressing access barriers that may affect time to treatment.
• Provide HCP offices with product access expertise, including education on reimbursement pathways, coverage requirements, prior authorization, appeals, and payer processes.
• Partner collaboratively with Alnylam colleagues to support consistent patient services education and coordinated field execution.
• Educate HCPs and office staff on Alnylam Assist enrollment, program offerings, missing information requirements, reimbursement resources, financial assistance, and Hub tools.
• Liaise with Specialty Pharmacy Account Liaisons, as appropriate, for products covered under the pharmacy benefit.
• Monitor and communicate relevant commercial, Medicare, Medicaid, and government payer coverage updates that may impact patient access in the assigned geography while being a subject matter expert on the relevant payers in the territory.

Qualifications:

• Bachelor’s degree required; equivalent experience may include 1.5+ years as a field reimbursement specialist, 2 years in specialty pharmaceutical medical benefit sales or 2+ years as a biologic coordinator or office practice manager.
• Experience navigating prior authorization and appeals processes for pharmacy and medical benefit coverage.
• Cardiology or rare disease experience preferred.
• Proven experience working with Hubs and strong understanding of Hub activities, including prior authorization, appeals, and payer-specific access processes.
• Knowledge of commercial payers, Medicare plans, and state Medicaid programs within the assigned geography.
• Valid driver’s license and ability to travel, including overnight and/or weekend travel as required.

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.

Before applying, please review Alnylam's ⁠Candidate Privacy Notice regarding how Alnylam handles Personal Data you provide with your application for employment.

U.S. Pay Range 123300 - 166800 USD