Field Reimbursement Director - Southern CA, AZ

Optimizes access to Alnylam products by ensuring that provider accounts understand access and reimbursement dynamics. Works with internal stakeholders and providers to support treatment pathways for patients. Responsible for addressing and resolving outstanding claim payment issues. Provides guidance to case managers on case-specific complex PA/Appeal issues. Collaborates with case managers on treatment site finding for the specialty business when there are no site of care options available in the treatment directory. Provides case-specific PA/Appeal support and site of care options for the rare business Works with Public Policy & Government Relations team on engagement strategies and tactics regarding MACs or local policy changes as well as state-level public policy initiatives Ensures compliance with all corporate and industry policies in collaboration with Alnylam Legal, Regulatory and Compliance Bachelor's degree required 10+ years prior pharma/biotech experience 5+ years of field reimbursement experience in ‘buy and bill' preferably in rare disease or oncology Established relationships with Medicare Administrative Contractors (MACs) highly preferred Strong knowledge of the US payer landscape Deep understanding of both medical benefit and pharmacy benefit across payer types (Medicare, Medicaid, commercial, VA/DoD, etc.) and sites of care (Hospital Outpatient Department, free standing centers and home infusion) Proven ability to identify key access and reimbursement barriers to treatment and design effective resolution plans Exceptional professional communication, interpersonal and problem-solving skills necessary to interact with decision makers (CFO and other C-suite level stakeholders) Demonstrated ability to lead without authority in a highly collaborative matrix and fast-paced environment Self-starter who is enthusiastic about rare disease and Alnylam's core values: fiercely innovative, open culture, purposeful urgency, passion for excellence, and commitment to people Ability to travel up to 75% Must reside in Southern CA or AZ