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Rare Disease Case Manager
1 month ago
About the Role
This is a unique opportunity to join Alnylam Pharmaceuticals as a Case Manager for Rare Diseases. As a key member of our team, you will be responsible for assessing patients' needs and developing action plans to provide for the initiation and continuation of treatment with Alnylam products.
Key Responsibilities
- Develop a comprehensive understanding of the reimbursement process, billing/coding nuances, insurance plans, payer trends, financial assistance programs, patient assistance programs, and related resources.
- Assist in obtaining insurance approval for Alnylam products and proactively plan for maintenance of coverage by working with patients and their caregivers/families, healthcare providers, insurance companies, specialty pharmacies, and Alnylam colleagues.
- Identify complex patient-specific issues and develop and execute action plans accordingly.
- Maintain disease, reimbursement, and insurance coverage expertise through continuing medical education and attendance at relevant conferences and other educational opportunities.
- Educate patients, caregivers, family members, healthcare providers, and others regarding insurance options and limitations, including requirements necessary to initiate and maintain treatment, patient services' offerings, and relevant disease/product information as necessary.
- Foster collaborative relationships with all internal and external customers, including but not limited to Patient Education Liaisons, medical, sales, field reimbursement, corporate accounts, patient advocacy, insurance company case managers, specialty pharmacies, home health agencies, and office coordinators.
- Maintain accurate data on each individual, their insurance, coverage approvals, ongoing coverage requirements, and all patient and provider interactions.
- Attend patient meetings and represent Alnylam at industry conferences, as needed.
- Ensure compliance with all corporate and industry policies in collaboration with Alnylam Legal, Regulatory, and Compliance.
About Alnylam
Alnylam Pharmaceuticals is a leading biopharmaceutical company that has pioneered the development of RNA interference (RNAi) therapeutics. Our mission is to transform the lives of people affected by rare and more prevalent diseases by harnessing the power of RNAi.
Our Culture
At Alnylam, we value a culture that is open, inclusive, and passionate about innovation. We believe in empowering our employees to bring their unique perspectives and ideas to the table, and we strive to create an environment where everyone feels valued and supported.
