Hybrid Corporate Counsel, PBM and Payer Contracts

Posted last month

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About the role

  • 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
  • Medical
  • Dental
  • Vision
  • Health savings and flexible spending accounts
  • 401K with employer matching
  • Employer-paid life insurance
  • Short/long term disability coverage
  • Employee Assistance Program
  • Generous paid time off for full-time employees
  • Limited paid time off for part-time employees
  • Paid holidays

Job title

Corporate Counsel, PBM and Payer Contracts

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Postgraduate Degree

Location requirements

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