Cox is the CEO of Lightswitch Capital, a private equity fund investing in biotech companies.

[24] Cox served as Senator John McCain's executive director for New York State[25] during the 2008 presidential campaign and is co-founder of the consulting firm, OC Global Partners, LLC.

Previously, Cox was a corporate associate at the law firm of Weil, Gotshal & Manges in their New York office where he worked in the Private Equity Group.

[26] In 2010, Cox finished third in the Republican primary for New York's 1st congressional district, behind businessman Randy Altschuler and former SEC Enforcement Attorney George Demos.

[34] Cox was also endorsed by several former contestants in the race, including Gary Berntsen[35] and New York State Assemblyman Mike Fitzpatrick (R – Smithtown).