Field Reimbursement Manager - Houston, TX
Alnylam Pharmaceuticals
June 29, 2026
On-site
Houston, TX
Market Access
Responsibilities:
- Act as subject-matter expert on access and coverage issues affecting Alnylam products.
- Educate HCPs and their staff on access, coverage, prior authorization, and appeals to facilitate appropriate patient access.
- Analyze payer access issues and advise payer policy/process to field sales personnel and regional management.
- Coordinate with the Hub on individual patient cases, including patient support services referrals to enrollment and overall case coordination.
- Collaborate cross-functionally with Field Reimbursement Director, Field Sales, Patient Services Case Management, matrix partners, and Specialty Pharmacy Account Liaisons.
- Provide product access expertise and support Alnylam Assist enrollment, including resolving missing information.
- Liaise with Specialty Pharmacy Liaisons for pharmacy benefit products.
- Inform HCPs how products are covered under Commercial, Medicare Part D, and Medicaid; answer coverage and ICD-10 code questions (including patient-specific access).
- Educate and update HCPs on private/public payer coverage and changes impacting access.
- Educate HCPs and practice personnel on the Hub program (reimbursement, financial assistance, and Hub tools such as provider portal, copay tracking, and forms).
- Communicate available resources/forms and prioritize issues with strong verbal communication.
Requirements:
- BS/BA required or 1.5+ years as a field reimbursement specialist; or 3+ years as a biologic coordinator/office practice manager.
- Experience navigating prior authorization for pharmacy and medical benefit coverage.
- Cardiology or Rare Disease preferred.
- Proven experience working with Hubs; deep knowledge of Hub activities and prior authorization/appeals across payer types.
- Knowledge of commercial payers, Medicare plans, and state Medicaid in the region.
- Valid driver’s license; ability to travel (overnights and/or weekends).
Benefits:
- Annual short-term incentive award (bonus/sales incentive) and annual long-term incentive award (equity).
- Medical, dental, vision, life/disability, flexible spending/health savings accounts, 401(k) match, paid time off, wellness days, holidays, and recharge breaks.
U.S. Pay Range: $123,300.00–$166,800.00
- Act as subject-matter expert on access and coverage issues affecting Alnylam products.
- Educate HCPs and their staff on access, coverage, prior authorization, and appeals to facilitate appropriate patient access.
- Analyze payer access issues and advise payer policy/process to field sales personnel and regional management.
- Coordinate with the Hub on individual patient cases, including patient support services referrals to enrollment and overall case coordination.
- Collaborate cross-functionally with Field Reimbursement Director, Field Sales, Patient Services Case Management, matrix partners, and Specialty Pharmacy Account Liaisons.
- Provide product access expertise and support Alnylam Assist enrollment, including resolving missing information.
- Liaise with Specialty Pharmacy Liaisons for pharmacy benefit products.
- Inform HCPs how products are covered under Commercial, Medicare Part D, and Medicaid; answer coverage and ICD-10 code questions (including patient-specific access).
- Educate and update HCPs on private/public payer coverage and changes impacting access.
- Educate HCPs and practice personnel on the Hub program (reimbursement, financial assistance, and Hub tools such as provider portal, copay tracking, and forms).
- Communicate available resources/forms and prioritize issues with strong verbal communication.
Requirements:
- BS/BA required or 1.5+ years as a field reimbursement specialist; or 3+ years as a biologic coordinator/office practice manager.
- Experience navigating prior authorization for pharmacy and medical benefit coverage.
- Cardiology or Rare Disease preferred.
- Proven experience working with Hubs; deep knowledge of Hub activities and prior authorization/appeals across payer types.
- Knowledge of commercial payers, Medicare plans, and state Medicaid in the region.
- Valid driver’s license; ability to travel (overnights and/or weekends).
Benefits:
- Annual short-term incentive award (bonus/sales incentive) and annual long-term incentive award (equity).
- Medical, dental, vision, life/disability, flexible spending/health savings accounts, 401(k) match, paid time off, wellness days, holidays, and recharge breaks.
U.S. Pay Range: $123,300.00–$166,800.00