Patient Access Navigator
About the role
The Role: Cogent Biosciences is searching for compassionate and highly motivated Patient Access Navigators to establish the inaugural Patient Services team. The Patient Access Navigators will be responsible for delivering a high-touch, patient-centered access experience across the prescription fulfillment journey.
Responsibilities
- Serve as the primary point of contact and case owner for patients and caregivers navigating insurance coverage, reimbursement, and access to therapy
- Guide patients and HCP offices through benefits verification, prior authorization, appeals, and coverage requirements
- Proactively identify and resolve access barriers to minimize time-to-therapy and prevent treatment delays or abandonment
- Educate patients and caregivers on insurance coverage, financial responsibility, and available affordability or assistance programs using approved resources
- Maintain long-term relationships with patients, caregivers, and HCPs throughout the treatment journey
- Support treatment continuation by addressing access-related challenges that arise over time
- Provide product and disease education focused on the treatment experience and access journey
- Collaborate closely with internal field teams, market access colleagues, safety, and compliance partners to ensure a coordinated and consistent patient experience
- Coordinate with HCP offices, specialty pharmacies, health insurance plans and external patient services vendors to resolve access, reimbursement, and logistical issues
- Conduct non-promotional on-site visits to HCP offices, when appropriate, to support complex patient access cases, clarify reimbursement requirements, or improve operational coordination related to patient access
- Communicate timely, clear updates to patients, caregivers, and HCPs regarding case status and next steps
- Apply program business rules, standard operating procedures, and work instructions to deliver consistent, compliant, and high-touch patient services experience
- Document all patient interactions, access milestones, and case outcomes accurately within the Customer Relationship Management (CRM) system
- Maintain confidentiality of patient health information and ensure compliance with all applicable laws, regulations, and company policies, including HIPAA
- Ensure all interactions with HCP offices, including on-site engagements, are conducted in a non-promotional manner and in alignment with approved patient services scope and compliance guidance
- Support adverse event and product complaint reporting in accordance with established procedures
Qualifications
- Minimum of 5 years of experience in patient services, access navigation, reimbursement support, or case management within the healthcare or pharmaceutical/biotechnology industry
- Experience may include roles in patient access services, reimbursement support, case management, social work, or patient support programs
- Demonstrated expertise in private payer, Medicare Part D, and Medicaid reimbursement structures and processes
- Experience coordinating with patients, HCP offices, specialty pharmacies, health insurance plans and patient services vendors
- Proficiency with CRM systems (e.g., Salesforce) and ability to quickly learn internal workflows and systems
- Strong organizational skills with the ability to manage multiple patient cases and priorities simultaneously
- Excellent written and verbal communication skills with a patient-centered, empathetic approach
- Proficiency in Microsoft Excel, Word, and Outlook
- Oncology and/or rare disease experience
- Demonstrated success improving patient access outcomes, such as reducing time-to-therapy or treatment abandonment
Skills
- Compassion and empathy
- Operational excellence
- Collaboration
- Insurance navigation
- Reimbursement problem-solving
- Affordability support
- Communication
- Product and disease education
- Non-promotional engagement
- Adverse event and product complaint reporting
Benefits
Our Offer To You At Cogent Biosciences, we offer a competitive salary, bonus, and ongoing stock awards, alongside a benefits package that sets us apart. We cover 100% of medical, dental, and vision premiums for you and your family, and help reduce out-of-pocket costs by funding up to 75% of in-network deductibles. Our benefits also include a 401(k) match with immediate vesting, generous paid time off, 12 weeks of fully paid parental leave, paid family and medical leave for all employees regardless of location, and company-paid short-term disability coverage for up to 20 weeks. Additional perks like wellness programs, tuition reimbursement, and inclusive family-forming support help you thrive at work and beyond.
Pay
Salary Range $170k - $200k USD Target Bonus: 15%
Schedule
This is a home-office based role with a twice weekly (Monday and Wednesday) in-office presence at the Waltham Headquarters.