Senior Legal Counsel – Pharmacy Benefit Manager

Job not on LinkedIn

🔥 13 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $175.1k - $334.8k / year

⏰ Full Time

🟠 Senior

⚖️ Legal Counsel / General Counsel

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

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 legal guidance, interpretation, advice and recommendations to internal stakeholders and senior/executive management regarding federal and state healthcare regulations • Serve as a subject matter expert on newly enacted legal requirements • Provide advanced legal advice and counsel to promote company mandates and protect company interests • Prepare communications with state regulators, examiners, and/or consultants within expected deadlines and short timelines • Research and analyze state laws and regulations • Perform legal review and assessment of adverse state market conduct exam findings and consent orders • Identify and review legal risk for business areas and subject matter experts to assess market conduct impact and corrective action plans • Provide legal expertise on company-wide initiatives requiring legal research and advice across the CVS Health enterprise • Collaborate cross-functionally with the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations • Assist with onboarding junior-level staff to develop departmental capabilities

🎯 Requirements

• 8+ years of legal attorney experience in a law firm and/or in-house setting • Mastery of problem solving and decision making skills • Mastery of collaboration and teamwork • Mastery of growth mindset skills, including agility and developing yourself and others • Mastery of execution and delivery skills, including planning, delivering, and supporting • Mastery of business intelligence • JD required • Bachelor's Degree required • Preferred: In depth knowledge of healthcare laws, regulations and industry standards governing health plans and healthcare, including Affordable Care Act, Medicare, Medicaid, ERISA, state any willing provider and other state provider network issues • Preferred: Experience working with state and federal government agencies, healthcare laws and regulations • Preferred: Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans

🏖️ Benefits

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