Deputy General Counsel – Enterprise and Commercial

🕒 Abril 16

🏖️ New Jersey, Maryland, +3 estados a mais – Remoto

🏖️ New Jersey – Remote 🦀 Maryland – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote

💵 $250.000 - $275.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🧑‍⚖️ Consultor Jurídico / Conselheiro Geral

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Fuze Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

☁️ SaaS

🤝 B2B

💊 Farmacêutico

SaaS • B2B • Pharmaceuticals

A Fuze Health é uma empresa de saúde guiada por tecnologia que oferece soluções integradas de farmácia, serviços clínicos e software orientado por dados para organizações de saúde, pagadores, empregadores e parceiros de ciências da vida. Através de sua farmácia digital FuzeRx, programas clínicos Fuze Services e plataforma Fuze Technologies, oferece serviços de prescrição alimentados por API, telemedicina, diagnósticos e genômica, engajamento de pacientes e análise de dados para melhorar o acesso, adesão, identificação precoce de condições e resultados em larga escala.

Descrição

• Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment. • Evaluate whether payor positioning supports proposed deal economics, assess margin risk under network limitations, and influence go/no-go decisions for enterprise initiatives based on reimbursement risk modeling. • Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value-based constructs. • Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery. • Ensure alignment between state reimbursement protection statutes, specialty carve-outs, and vertical-specific addenda. • Provide centralized legal oversight across all contractual relationships in the high-revenue, operationally complex fertility vertical. • Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance (e.g., managing patient steerage risk). • Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution. • Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks. • Routinely evaluate and mitigate exposure related to the federal Anti-Kickback Statute (AKS), state analogs, patient steerage risk, and referral-based compensation. • Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high-performance, collaborative legal culture. • Oversee critical operational agreements, including courier/cold-chain logistics, technology vendors, and performance-based services, particularly where inventory loss or temperature excursions implicate reimbursement exposure.

🎯 Requisitos

• J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction • 12–14 years of legal experience in healthcare (law firm and in-house experience highly preferred) • Deep subject matter expertise in pharmacy operations and regulatory frameworks • Demonstrated history of operating as a lead negotiator for complex, revenue-impacting enterprise deals within the healthcare ecosystem • Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud-and-abuse laws (AKS, FCA) • Proven management skills with experience leading attorneys, collaborating across cross-functional executive teams, and driving enterprise-level legal strategy • Exceptional communication and judgment, with the ability to provide rapid-turn analysis on reimbursement-dependent deals and assess strategic risk beyond black-letter contract issues.

🏖️ Benefícios

• dental, vision, and multiple group medical plans to choose from • a 401(k) retirement savings plan • group life insurance • accidental death and dismemberment (AD&D) insurance • flexible spending account (FSA) and health savings account (HSA) • commuter benefits • employer-paid short-term (STD) and long-term disability (LTD) insurance • additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program) • flexible vacation time • accrued paid sick time • 10 paid holidays • (2 floating holidays for full time non-exempt employees) • eight weeks of paid parental leave for eligible employees • additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • a Lifestyle Spending Account allowance each month