Senior Legal Counsel – Litigation

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $143k - $243k / year

⏰ Full Time

🟠 Senior

⚖️ Legal Counsel / General Counsel

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Independently manage a diverse portfolio of litigation, investigations, and disputes, including antitrust, ERISA, contract, False Claims Act, Anti-Kickback Statute, fraud, waste and abuse, and regulatory matters • Develop and direct litigation strategy • Select, retain, manage, and negotiate rates and alternative fee arrangements with outside counsel and litigation vendors • Monitor outside counsel performance and spending and ensure efficient legal service delivery • Assess threatened and emerging disputes and investigate disputes with business leaders • Evaluate legal exposure, business impact, potential damages, and resolution options • Develop risk-mitigation strategies • Prepare settlement recommendations and negotiate settlement agreements • Direct discovery on complex matters, including productions, protective orders, custodial interviews, and data collection • Oversee litigation holds and preservation obligations • Respond to civil investigative demands and subpoenas • Monitor litigation and regulatory risks and recommend changes to business practices, policies, contracts, or controls • Advise legal leadership and executives on litigation strategy and status • Manage insured litigation matters with insurance carriers, including claims notices, coverage issues, reporting obligations, and reimbursement of covered costs • Develop and deliver training and guidance on legal principles, emerging issues, and risk considerations • Mentor department staff and provide practice-area guidance • Perform other duties as assigned

🎯 Requirements

• Juris Doctor degree and current state attorney's license • 7 years of experience practicing as an attorney or related legal experience in a regulatory or compliance role, including at least 5 years as an attorney representing managed care companies or other healthcare clients • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Experience independently managing complex litigation and investigations through all phases, including pre-litigation assessment, discovery, dispositive motions, settlement, and trial preparation • Experience managing litigation and/or investigations involving significant e-discovery, complex data, and large-scale document productions • Experience directing and supervising outside counsel and managing budgets • Ability to exercise independent judgment and provide practical, business-oriented advice involving significant legal, financial, reputational, or regulatory risk • Ability to influence business clients and effect necessary changes in policies or behaviors • Ability to manage multiple high-stakes matters with competing priorities and coordinate internal stakeholders, outside counsel, experts, insurers, and other third parties • Financial acumen and familiarity with common business finance principles • Ability to distill complex concepts or situations into concise and compelling communications • Advanced negotiation, influence, and stakeholder management skills • Preferred: Experience with litigation involving PBMs, pharmacies, and/or health benefit insurers • Preferred: Experience managing multi-district litigation or similar mass action litigation or arbitration • Preferred: Experience with government enforcement matters, including state attorney general actions and investigations • Preferred: Experience managing complex litigation in an in-house position • Preferred: Experience advising senior and executive leaders on complex healthcare, regulatory, transactional, or litigation matters • Preferred: Experience collaborating with health plan, client, owner, or other stakeholder counsel • Must comply with security responsibilities, applicable legal, regulatory, contractual requirements, and internal policies and procedures • Must be able to perform the essential functions of the job

🏖️ Benefits

• Benefits, incentives and additional compensation (details provided on the Benefits Page) • Equal opportunity and affirmative action employer • Reasonable accommodations for employees with disabilities • Tobacco-free workplace

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