Case Manager, East Coast (Remote)

Develops a comprehensive understanding of the reimbursement process, billing/coding assistance programs, and related resources. Assists in obtaining insurance approval for Alnylam products, and proactively plans for Ensures compliance with all corporate and industry policies in collaboration with Alnylam Legal, Regulatory and Compliance. Bachelor's Degree required. Health Care/Social Work/Nursing (or related field) a plus. 3+ years recent case management experience in the healthcare or pharmaceutical/biotech industry. Ultra-rare disease experience a plus. Experience should include but not be limited to home care management, case management review, utilization review, social service support, insurance reimbursement, patient assistance programs, or billing and coding. Knowledge of benefit verification and prior authorization process for infused and injectable products. Knowledge of private payer, Medicare, and Medicaid structure, systems, and reimbursement process required. Experience and proficiency in working with a Customer Relationship Management System, such as Salesforce.com. Possess strong written and verbal communication skills, exceptional listening, critical thinking, problem solving, negotiation and mediation skills. Ability to navigate difficult conversations and handle sensitive issues with opposing opinions. Ability to work independently and manage competing priorities. Experience working in cross-functional teams and effective in influencing without authority. Desire to innovate and work in a fast-paced, flexible, and energetic environment.