What are the responsibilities and job description for the Case Manager position at Alnylam?
Summary of Key Responsibilities
- Assesses patients' needs and develops action plans that provide for the initiation and
- continuation of treatment with Alnylam products while coordinating the exchange of all
- applicable patient-related information with appropriate internal and external stakeholders.
- Develops a comprehensive understanding of the reimbursement process, billing / coding
- nuances, insurance plans, payer trends, financial assistance programs, patient
- assistance programs, and related resources.
- Assists in obtaining insurance approval for Alnylam products, and proactively plans for
- maintenance of coverage by working with patients and their caregivers / families,
- healthcare providers, insurance companies, specialty pharmacies, and Alnylam colleagues.
- Understands the resources available in their specific region, and how they can be best employed to support patient care.
- Identifies complex patient-specific issues and develops and executes action plans accordingly.
- Maintains disease, reimbursement and insurance coverage expertise through continuing
- medical education and attendance at relevant conferences and other educational opportunities.
- Educates patients, caregivers, family members, health care 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.
- Fosters 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.
- Maintains accurate data on each individual, their insurance, coverage approvals, on-going coverage requirements and all patient and provider interactions.
- Attend patient meetings and represent Alnylam at industry conferences, as needed
- Ensures compliance with all corporate and industry policies in collaboration with Alnylam Legal, Regulatory and Compliance.
Qualifications
About Alnylam : Alnylam Pharmaceuticals (Nasdaq : ALNY) has led the translation of RNA interference (RNAi) into a whole new class of innovative medicines with the potential to transform the lives of people afflicted with rare and more prevalent diseases. Based on Nobel Prize-winning science, RNAi therapeutics represent a powerful, clinically validated approach to treating diseases at their genetic source by "interfering" with mRNA that cause or contribute to disease. Since our founding in 2002, Alnylam has led the RNAi Revolution and continues to turn scientific possibility into reality.
Our culture : Our people-first culture is guided by our core values : fiercely innovative, open culture, purposeful urgency, passion for excellence, and commitment to people, and these values influence how we work and the business decisions we make. Thanks to feedback from our employees over the years, we've been fortunate to be named a top employer around the world. Alnylam is extremely proud to have been recognized as the #1 Large Employer by Boston Globe Top Places to Work in 2023 for the third consecutive year, one of Science Magazine's Top Biopharma Employers, one of America's Most Responsible Companies for 2024 by Newsweek, a Fast Company Best Workplace for Innovators, and a Great Place to Work in Canada, France, Italy, Spain, Switzerland, and UK - among others.
At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. We are dedicated to building an environment where employees can feel that they belong, can bring their authentic selves to work, and achieve to their full potential. By empowering employees to embrace their unique differences at work, our business grows stronger with advanced and original thinking, allowing us to bring groundbreaking medicines to patients. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, ethnicity, marital status, protected veteran status, disability, or any other characteristics prohibited by law.
