Jobs · Information Technology · Massachusetts

Patient Access Navigator

Cogent Biosciences · Waltham, MA · 2 mo ago
HybridInformation TechnologyFull-time

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.

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