Patient Navigator (Northeast Region)

Roche • South San Francisco, CA

1d • $75,200 - $139,700 • Remote

About The Position

The Patient Navigator (PN) serves as a primary point of contact supporting patients across their treatment journey, addressing clinical and non-clinical needs, identifying and addressing barriers, providing resource referrals, and coordinating treatment logistics on behalf of patients. In this role, you will apply critical thinking, creative problem-solving, and independent judgment to navigate complex healthcare systems and optimize patient access to care.

Requirements

• Bachelor’s degree or equivalent experience.
• 3+ years of healthcare or reimbursement experience.
• Passionate about supporting patients’ on their journey and navigating access to medicines; consumer and patient service oriented
• Deep access and reimbursement acumen, including demonstrated understanding of the healthcare system and stakeholders.
• Demonstrated experience navigating the healthcare ecosystem, including HCP offices, insurance coverage, prior authorizations, specialty pharmacy, and financial assistance programs.
• Demonstrated ability to work in a digital-first environment.

Nice To Haves

• Prior experience supporting complex specialty therapeutics (e.g., oncology, rare disease, or biologics) within patient services, access or hub environments.
• Proven track record of applying critical thinking and empathetic communication to resolve high-friction patient access scenarios.
• Ability to educate healthcare provider staff on access support programs in a compliant, strictly non-promotional manner.
• Familiarity with tracking and driving key operational metrics such as Time to Treatment, Cost per Interaction, and Patient CSAT.

Responsibilities

• Orchestrate support across the end-to-end patient treatment journey, coordinating across HCPs, specialty pharmacies, sites of care, payers, and internal teams to eliminate barriers to care.
• Manage complex, exception-based reimbursement cases, including escalations for benefit verifications, prior authorizations, appeals, and reauthorizations.
• Provide comprehensive insurance and financial education to patients, caregivers, and provider offices regarding coverage options, co-pay support, and patient assistance programs.
• Apply independent judgment to tailor conversations and personalized interventions in scenarios where clear protocols may not exist, while adhering strictly to compliance guardrails.
• Proactively utilize digital tools, patient insights, and key performance metrics (e.g., Time to Treatment, Patient Satisfaction Scores) to continuously optimize outcomes.
• Screen for, capture, and report Potential Adverse Events (PAEs) in strict compliance with organizational and regulatory guidelines.

Benefits

• Discretionary annual bonus may be available based on individual and Company performance.
• Benefits detailed at the link provided below.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level