Senior Managing Counsel – Pharmacy Network Operations

Job not on LinkedIn

🔥 1 minute ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $197k - $328.3k / year

⏰ Full Time

🟠 Senior

🌐 Network Operations

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Lead and develop a team of attorneys supporting pharmacy network operations within the PBM organization • Serve as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives • Provide day-to-day legal counsel on pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and regulatory compliance • Advise on state and federal laws and regulations affecting PBMs, pharmacy networks, and the healthcare supply chain • Draft, review, negotiate, and provide strategic guidance on complex healthcare and pharmacy-related agreements • Partner with business leaders on strategic initiatives, business transformations, and enterprise projects affecting pharmacy network operations • Collaborate with regulatory, compliance, privacy, litigation, and transactional legal teams • Build relationships with senior business stakeholders and advise leadership • Deliver high-quality legal support while balancing legal risk and business objectives • Mentor, coach, and develop attorneys while promoting a collaborative, 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 • For home working, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ 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 arrangement • Tobacco-free policy