RENAE GOODRIDGE
Somerville,MA
Summary
Dynamic healthcare and patient services leader with a robust background in reimbursement, case management, insurance access, and team leadership. Proven track record of enhancing operational efficiency, eliminating patient access barriers, and elevating patient and provider experiences. Expertise in fostering cross-functional collaboration and leveraging data-driven decision-making to lead high-performing teams in complex healthcare and biotech environments. Committed to driving innovative solutions that optimize service delivery and improve outcomes for all stakeholders.
Overview
17
17
years of professional experience
Work History
Regional Manager, Case Management
Alnylam Pharmaceuticals
Cambridge, MA
06.2022 - Current
- Lead regional patient services operations with strategic oversight of case management teams.
- Drive process improvements and implement short- and long-term operational strategies.
- Partner cross-functionally to enhance patient and provider experience and achieve business objectives.
- Recruit, train, and develop staff while managing performance and competencies.
- Oversee workload distribution, ensuring adequate coverage for service demands.
- Develop KPIs, dashboards, and tracking systems to improve reporting accuracy and operational insights.
- Collaborate with marketing and internal partners to optimize patient support programs.
- Ensure compliance with regulatory, legal, and company standards.
Senior Case Manager
Alnylam Pharmaceuticals
Cambridge, MA
06.2018 - 06.2022
- Managed complex patient cases, facilitating treatment access through insurance approvals and financial programs.
- Served as a subject matter expert on reimbursement processes and payer policies.
- Worked closely with patients, providers, pharmacies, and internal stakeholders.
- Identified treatment barriers and developed proactive solutions to maintain continuity of care.
- Educated stakeholders on coverage criteria and patient support services.
- Maintained precise documentation and reporting for all case activities.
Senior Reimbursement Advocate
Sirtex Medical Limited
Woburn, MA
09.2017 - 06.2018
- Delivered reimbursement support to patients, providers, and internal sales teams.
- Conducted benefit verifications, prior authorizations, and appeals.
- Identified reimbursement barriers and developed workflow enhancements.
- Built relationships with payer organizations to streamline approval pathways.
- Analyzed reimbursement trends to contribute to strategic initiatives.
- Established and led a VIP predetermination program.
- Maintained payer policy database and communicated updates across departments.
- Supported reimbursement processes for clinical research patients.
Reimbursement Advocate
Sirtex Medical Limited
Woburn, MA
05.2014 - 08.2017
- Delivered reimbursement support to patients, providers, and internal sales teams.
- Conducted benefit verifications, prior authorizations, and appeals.
- Identified reimbursement barriers and developed workflow enhancements.
- Built relationships with payer organizations to streamline approval pathways.
- Analyzed reimbursement trends to contribute to strategic initiatives.
- Established and led a VIP predetermination program.
- Maintained payer policy database and communicated updates across departments.
- Supported reimbursement processes for clinical research patients.
Supervisor
Partners HealthCare
Charlestown, MA
03.2013 - 05.2014
- Supervised a team of seven, overseeing specialty billing and complex claim resolution.
- Developed departmental policies, quality control measures, and workflow standards.
- Managed billing and collections across multiple specialty programs and insurance types.
- Led performance evaluations and implemented quality assurance initiatives.
- Collaborated with internal stakeholders and payers on escalated issues.
Appeals Coordinator
Partners HealthCare
Charlestown, MA
08.2011 - 03.2013
- Managed appeals processes and resolved complex account issues.
- Identified trends and shared insights to enhance overall team performance.
Senior Third-Party Reviewer
Partners HealthCare
Charlestown, MA
01.2010 - 01.2011
- Resolved insurance claims via direct payer communication.
- Documented account activity and ensured timely reimbursements.
Third-Party Reviewer
Partners HealthCare
Charlestown, MA
01.2009 - 01.2010
- Resolved insurance claims via direct payer communication.
- Documented account activity and ensured timely reimbursements.
Education
Bachelor of Arts - Business Administration, Concentration in Management
Salem State University
Salem, MASkills
- Patient Services Leadership
- Regional Team Leadership
- Patient Assistance Programs (PAP)
- Healthcare Reimbursement
- Cross-Functional Collaboration
- KPI & SLA Development
- Program Strategy
- Regulatory & Legal Compliance
- Salesforce
- Data & Performance Analytics
EARLY EXPERIENCE
- Broadspire (Crawford Company) – Administrative Support
- Watermill Group – Accounting/Administrative Assistant
- Brightcove – Office Assistant
Timeline
Regional Manager, Case Management
Alnylam Pharmaceuticals
06.2022 - Current
Senior Case Manager
Alnylam Pharmaceuticals
06.2018 - 06.2022
Senior Reimbursement Advocate
Sirtex Medical Limited
09.2017 - 06.2018
Reimbursement Advocate
Sirtex Medical Limited
05.2014 - 08.2017
Supervisor
Partners HealthCare
03.2013 - 05.2014
Appeals Coordinator
Partners HealthCare
08.2011 - 03.2013
Senior Third-Party Reviewer
Partners HealthCare
01.2010 - 01.2011
Third-Party Reviewer
Partners HealthCare
01.2009 - 01.2010
Bachelor of Arts - Business Administration, Concentration in Management
Salem State University