Legal Counsel – Healthcare Contracting

Job not on LinkedIn

🔥 29 minutes ago

🌵 Arizona, Connecticut, +3 more states – Remote

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💵 $144.2k - $288.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚖️ Legal Counsel / General Counsel

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provide timely, practical, and actionable legal advice to internal business partners and leadership • Draft commercial prescription benefit management (PBM) contracts for CVS Health’s health plan and employer clients/payors • Advise internal partners on PBM program terms and related matters • Interpret and administer PBM services agreements • Provide legal and regulatory compliance interpretation and general corporate legal advice • Identify business and legal risks and recommend solutions balancing risks with business objectives • Develop understanding of assigned internal clients’ business and operational goals • Develop and maintain positive relationships with clients across the organization • Collaborate with team members and business partners on legal issues and projects • Provide counsel directly to PBM division leadership

🎯 Requirements

• 5+ years of experience in transactional and/or complex contracting with a healthcare company or law firm • 2+ years of healthcare law experience • Basic knowledge of HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute • Admitted to practice law in at least one state • Ability to travel up to 5% (including by plane) • Undergraduate degree and Juris Doctor required • Healthcare or PBM experience • Expertise in negotiating and drafting complex contracts • Ability to work collaboratively in a large, complex corporate structure • Excellent written and oral communication skills • Ability to manage multiple projects simultaneously

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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