Access Specialist

Access Specialist

United States (EST only) Access Specialist II - Metabolic - East Company: Cycle Vita Location: This is a remote position, but candidates will be located in Eastern time zone

The opportunity Are you ready to become the trusted expert that patients and healthcare providers turn to for guidance on access, affordability, and solutions? Cycle Pharmaceuticals is recruiting for an Access Specialist II within our Metabolic team where you'll be supporting our patients and healthcare professionals every step of the way.

As an Access Specialist II, you'll be at the forefront of delivering timely, accurate and compassionate support to both patients and healthcare providers. You'll be responsible for communicating directly with patients and healthcare professionals to provide benefit summaries, verify insurance coverage, obtain prior authorizations and support appeals processes. As part of your role, you'll make sure patients are referred to the right resources like educational tools and nursing support to help them feel confident with their care journey.

Our Company At Cycle, we believe that Every Single Patient Matters. This is at the heart of why we work and we're looking for people to join our team who share our vision. We know that life-changing treatments need life-improving product support to match, because when you put the two together, great things can happen.

Our core focus areas include rare metabolic, immunological, and neurological genetic conditions and oncology. We improve existing drugs, repurpose them for new uses, and bring generics back to market. Using cutting-edge drug delivery technologies, we enhance the efficiency of treatments, offering patients greater freedom and choice.

Headquartered in Cambridge, UK, with a significant US presence, Cycle has scaled rapidly and was named one of the UK's fastest-growing private companies by The Sunday Times (Sunday Times 100 2024 & Sunday Times 100 Tech 2025). If you want to know more about what we do then, why not check out our website and take a look at some of our patient stories: Patient Stories - Cycle Pharma

What you will be doing:

• Obtain insurance verification and benefits from insurance companies and leveraging additional sources such as insurance carrier websites.
• Ensure that all documents and information are up to date and correct in the system.
• Prepare benefit summaries and deliver this information to Health Care Professionals and Patients via phone, fax, email, and letters.
• Educate Health Care Providers and Staff regarding prior authorization and appeals process & documentation including highly specific, payer-based requirements.
• Supply all necessary prior authorization requirements to Health Care Professionals based on the insurance company's requirements, following Cycle Pharma's Compliance SOPs and regulatory guidance.
• Support patient's needs for alternate funding scenarios including free drug and copay and enrolling appropriate patients.
• Triage orders to Specialty Pharmacies including follow-up calls/emails to gain knowledge of the status of those orders.
• Assist with answering any incoming telephone calls or emails within the shared inbox.
• Build strong, collaborative relationships with patients, caregivers, insurers, and colleagues to promote service excellence and teamwork at Cycle Pharma.
• Work closely with the Clinical Education Managers and support with any other duties as required

Skills and experience that will help you to succeed in this position:

• Prior experience within the field of health sciences.
• Proven experience in Benefit Investigations and Prior Authorization processes, with a strong understanding of industry documentation standards.
• Strong knowledge within Copay and Free Drug Assistance Programs within the Healthcare or Pharmaceutical industry.
• Proficient in using CRM systems (Customer relationship management) such as SalesForce, Veeva or Microsoft Dynamics.
• Familiar with operating in highly regulated environments, ensuring full compliance with industry policies and procedures.
• Prior reimbursement experience with ability to communicate complex reimbursement scenarios to patients and medical professionals.
• Strong background in case management and coordinating with patient support services.
• Excellent organizational skills with the ability to plan, prioritize and meet deadlines effectively.
• Positive, relationship-focused mindset, with strong interpersonal and communication skills.
• Willing and able to travel up to 50%, including visits to healthcare providers, specialty pharmacies, and company headquarters in the UK for training and business reviews.

Desirable skills but by no means essential:

• Experienced in working in biotech/pharmaceutical industry for a drug manufacturer or Hub Services provider
• Rare disease experience

What can we offer to you This role will be homebased but some travel, up to 50% of the time, to attend team meetings or support patient activities may be required. We have an agile work policy which allows employees flexibility to set their schedule and plan their day to meet the business needs.

In addition to being part of a great team and doing things that will make a real difference to patients' lives, you will enjoy all the benefits that brings:

• Competitive salary based on experience
• A collaborative high performing work environment
• Performance based bonus
• Opportunity to join a fast growing and ambitious business
• 100% employer paid membership for Private Health Insurance
• Life Insurance
• 401k plan

Diversity and Inclusion statement: At Cycle Pharmaceuticals, we are committed to creating an inclusive, respectful, positive and diverse workplace. We do not discriminate on the basis of race, colour, religion, gender, age, disability, or any other protected characteristic. We actively support and embrace diversity, and we are working to build a team that reflects a wide range of backgrounds and perspectives.

We value your unique contributions and encourage you to join us in shaping a more inclusive future. If you require any reasonable adjustments - whether during the application process or in the workplace - we will be happy to support your needs. At Cycle, equality, inclusion, and respect are at the core of everything we do. We fully comply with all applicable employment laws, including those related to non-discrimination, work authorization, and employment eligibility verification.