Associate Case Manager
Alnylam Pharmaceuticals
August 18, 2026
Remote friendly (United States)
United States
Patient Advocacy
Key Responsibilities:
- Verify/re-verify insurance coverage and benefit details by contacting payers.
- Receive provider referrals (via fax queue or other means).
- Clear, sort, and distribute incoming faxes; prioritize work to maintain customer satisfaction.
- Interpret patient insurance, prescription, and related health documentation.
- Enter and maintain accurate data on individuals, insurance, and payer interactions.
- Send Summary of Benefits to Providers and Field Reimbursement Directors.
- Research payer prior authorization processes; obtain and disseminate required documents to the Case Management Team.
- Submit and track referrals to Specialty Pharmacies as needed.
- Maintain up-to-date knowledge of reimbursement processes, billing/coding guidelines, healthcare policy, and payer trends.
- Participate in QC and interdepartmental projects; stay adaptable and support teammates.
- Use the CRM platform and learn internal Patient Services processes.
- Maintain confidentiality and comply with applicable laws, regulations, and company policies.
- Outreach to Sites of Care for initial and ongoing treatment.
Qualifications:
- Bachelor’s Degree required.
- 1–2 years of experience in customer service, account management, case management, or healthcare.
- Rare disease experience preferred.
- Knowledge of private payer, Medicare, and Medicaid structures/systems, reimbursement, and medical terminology.
- Experience in a high-volume patient services program preferred.
- Effective communication; critical thinking and problem-solving.
- Ability to learn quickly in a fast-paced environment; cooperative team skills.
Compensation/Benefits (as stated):
- Pay range: $74,000.00–$100,100.00; eligible for annual short-term and long-term incentive awards.
- Medical/dental/vision, life/disability, lifestyle reimbursement, FSA/HSA, 401(k) match, paid time off, wellness days, holidays, and recharge breaks.
- Verify/re-verify insurance coverage and benefit details by contacting payers.
- Receive provider referrals (via fax queue or other means).
- Clear, sort, and distribute incoming faxes; prioritize work to maintain customer satisfaction.
- Interpret patient insurance, prescription, and related health documentation.
- Enter and maintain accurate data on individuals, insurance, and payer interactions.
- Send Summary of Benefits to Providers and Field Reimbursement Directors.
- Research payer prior authorization processes; obtain and disseminate required documents to the Case Management Team.
- Submit and track referrals to Specialty Pharmacies as needed.
- Maintain up-to-date knowledge of reimbursement processes, billing/coding guidelines, healthcare policy, and payer trends.
- Participate in QC and interdepartmental projects; stay adaptable and support teammates.
- Use the CRM platform and learn internal Patient Services processes.
- Maintain confidentiality and comply with applicable laws, regulations, and company policies.
- Outreach to Sites of Care for initial and ongoing treatment.
Qualifications:
- Bachelor’s Degree required.
- 1–2 years of experience in customer service, account management, case management, or healthcare.
- Rare disease experience preferred.
- Knowledge of private payer, Medicare, and Medicaid structures/systems, reimbursement, and medical terminology.
- Experience in a high-volume patient services program preferred.
- Effective communication; critical thinking and problem-solving.
- Ability to learn quickly in a fast-paced environment; cooperative team skills.
Compensation/Benefits (as stated):
- Pay range: $74,000.00–$100,100.00; eligible for annual short-term and long-term incentive awards.
- Medical/dental/vision, life/disability, lifestyle reimbursement, FSA/HSA, 401(k) match, paid time off, wellness days, holidays, and recharge breaks.