Deputy General Counsel – Enterprise and Commercial

🕒 il y a 1 mois

🏖️ New Jersey, Maryland, +3 états de plus – Distant

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

💵 $250 000 - $275 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🧑‍⚖️ Directeur Juridique

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Fuze Health

Site WebLinkedInTous les Emplois

1001 - 5000 employés

☁️ SaaS

🤝 B2B

💊 Pharmaceutique

SaaS • B2B • Pharmaceuticals

Fuze Health est une entreprise de soins de santé axée sur la technologie qui fournit des solutions de pharmacie intégrées, des services cliniques et des logiciels basés sur les données aux organisations de santé, payeurs, employeurs et partenaires des sciences de la vie. Grâce à sa pharmacie numérique FuzeRx, ses programmes cliniques Fuze Services et sa plateforme Fuze Technologies, elle propose une exécution de prescriptions via API, de la télésanté, des diagnostics et de la génomique, de l'engagement des patients et de l'analyse pour améliorer l'accès, l'adhésion, l'identification précoce des affections et les résultats à grande échelle.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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