Associate Case Manager

Our Patient Services team provides exceptional customer service on all levels. The Associate Case Manager role is an integral component of the commercial strategy, responsible for working collaboratively with Case Managers to complete tasks that provide access and therapy management services for Alnylam’s portfolio of products.

Responsibilities

• Verify and re-verify insurance coverage policies and benefit details through direct contact with payers
• Receive incoming referrals from providers, via fax queue (or other means)
• Maintain workflow of clearing, sorting, and distribution of incoming faxes
• Prioritize work duties to maintain customer satisfaction through prompt and efficient service
• Accurately interpret patient insurance, prescription, and other health-related documentation
• Enter and maintain accurate data on individuals, their insurance, and all payer interactions
• Send Summary of Benefits to Providers and Field Reimbursement Directors
• Research and identify payer Prior Authorization Processes and obtain necessary documents and requirements to disseminate to Case Management Team
• Submit and Track referrals to Specialty Pharmacies, as needed
• Maintain up-to-date knowledge of the reimbursement process, billing/coding guidelines, healthcare policy, and payer trends
• Participate in projects and/or assignments including QC initiatives and interdepartmental projects
• Demonstrate adaptability and flexibility; seek out opportunities to support teammates
• Navigate customer-relationship management (CRM) platform in daily interactions and learn internal team processes
• Maintain confidentiality of patient health information and act in compliance with all laws, regulations, and Alnylam Company policies
• Outreach to Sites of Care related to initial and ongoing treatment

Requirements

• Bachelor’s Degree required
• 1-2 years of experience with customer service, account management, case management, or healthcare field experience
• Rare disease experience preferred
• Knowledge of private payer, Medicare, and Medicaid structure, systems, reimbursement process, and medical terminology
• Experience working in a high-volume patient services program preferred
• Effective communication, ability to think critically and problem solve
• Willingness to learn and adapt quickly in a fast-paced environment
• Ability to work cooperatively as a team member and have well-developed interpersonal skills
• Self-starter who is highly passionate about rare disease and Alnylam’s core values: Commitment to People, Innovation, Discovery, Sense of Urgency, Open Culture, and Passion for Excellence

Pay

U.S. Pay Range $74,000.00 - $100,100.00. 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 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).

Benefits

• Comprehensive medical, dental, and vision coverage
• Life and disability insurance
• Lifestyle reimbursement program
• Flexible spending and health savings accounts
• 401(k) with a generous company match
• Paid time off, wellness days, holidays, and two company-wide recharge breaks
• Generous family resources and leave

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.