Field Reimbursement Manager - Houston, TX

Responsibilities

• Analyze payer criteria
• Provide offices product access expertise
• Demonstrate 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
• Demonstrate a purposeful sense of urgency to minimize access barriers that improves time to treatment
• Liaise as needed with Specialty Pharmacy Liaisons for pharmacy benefit products
• 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
• Education 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)
• Demonsrate 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 or 1.5+ years experience as a field reimbursement specialist or 3+ year experience as a biologic coordinator/office practice manager
• 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