Provides legal counsel on federal and state healthcare regulations impacting PBM operations, payer relationships, and government program participation (Medicare Part D, Medicaid Managed Care, etc.).
Advises on CMS guidelines, Medicaid regulations, and other applicable laws and advisory opinions.
Drafts, reviews, and negotiates contracts with PBMs, health plans, payers, and government entities.
Ensures contracts align with legal and regulatory requirements and support business objectives; supports vendor and service agreements as needed.
Collaborates with compliance and quality teams to ensure adherence to healthcare laws and accreditation standards.
Provides legal support for licensing and regulatory filings across jurisdictions.
Advises on employment-related legal matters, including labor law compliance, employee relations, and internal investigations.
Serves as a legal advisor to business leaders, offering strategic guidance on initiatives and risk mitigation; supports general operational matters.
Manages outside counsel for litigation, regulatory investigations, and third-party subpoenas; coordinates document production and discovery responses.
Partners with internal stakeholders across departments to support strategic initiatives and ensure legal alignment.
Performs additional responsibilities as assigned by the Chief Legal Officer.
Requirements
Juris Doctor (JD) from an accredited law school.
Minimum four (4) years of legal experience, preferably in PBM, payer contracting, or government healthcare programs.
Licensed attorney in good standing in at least one U.S. jurisdiction.
Strong knowledge of healthcare regulations, including CMS, Medicare/Medicaid, and payer contracting frameworks.
Proven experience negotiating contracts with PBMs, health plans, and government entities.
Excellent analytical, communication, and organizational skills.
Ability to manage multiple priorities independently and collaboratively.
Preferred: Experience with employment law, compliance, and litigation management.
Benefits
Hybrid, remote and flexible on-site work schedules are available
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