Senior Managing Counsel – Pharmacy Network Operations

🔥 59 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $197k - $328.3k / year

⏰ Full Time

🟠 Senior

🌐 Network Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Lead and develop a team of attorneys supporting the pharmacy network operations business within the PBM organization • Serve as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives • Provide day-to-day legal counsel regarding pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and regulatory compliance • Advise on state and federal laws and regulations impacting PBMs, pharmacy networks, and the healthcare supply chain • Draft, review, negotiate, and provide strategic guidance regarding complex healthcare and pharmacy-related agreements • Partner with business leaders on strategic initiatives, business transformations, and enterprise projects impacting pharmacy network operations • Collaborate with internal legal teams, including regulatory, compliance, privacy, litigation, and transactional counsel • Develop strong relationships with senior business stakeholders and serve as a trusted advisor to leadership • Ensure delivery of high-quality legal support while balancing legal risk and business objectives • Mentor, coach, and develop attorneys while promoting a collaborative and high-performing team culture

🎯 Requirements

• Juris Doctor (JD) from an accredited law school • Active license to practice law in at least one U.S. jurisdiction • Minimum of 10+ years of legal experience, with substantial healthcare regulatory and transactional experience • Minimum of 6+ years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions • Minimum of 3+ years of people leadership experience managing attorneys or legal professionals • Demonstrated experience advising PBM business leaders on operational, strategic, and regulatory matters • Experience drafting and negotiating complex healthcare, pharmacy, network, or supply chain agreements • Strong knowledge of federal and state healthcare laws and regulations, including Anti-Kickback Statute, HIPAA, and other healthcare fraud and abuse laws • Proven ability to think strategically, exercise sound judgment, and provide practical business-focused legal advice • Excellent written and verbal communication skills with the ability to influence senior stakeholders • Experience advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations • Prior in-house healthcare legal experience supporting a PBM or health plan

🏖️ Benefits

• Annual bonus eligibility • Long term incentive plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Remote work option • Cable broadband or fiber optic internet service requirement for home working