Associate General Counsel, Pharmacy Programs - Remote
About The Position
UnitedHealthcare is seeking an experienced attorney to provide legal counsel and strategic advice for pharmacy benefit programs across Commercial, Individual & Family Plan (Exchange), and Medicaid lines of business. The role partners with pharmacy, clinical, product, operations, compliance, regulatory, and business leaders to develop and implement pharmacy strategies that advance member access, affordability, quality, and regulatory compliance. The attorney provides practical, solution-oriented legal guidance on pharmacy benefits, formulary and drug coverage programs, clinical initiatives, pharmacy operations, vendor relationships, and evolving state and federal regulatory requirements. The role translates complex legal requirements into actionable business guidance while balancing legal risk, operational objectives, and member impact. It also provides guidance on AI-related initiatives and opportunities to use AI to improve efficiency and legal and business operations. The position is remote within the United States. Employees hired in the Minneapolis or Washington, D.C. area must work in the office at least four days per week. Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Requirements
- Juris Doctor degree and active license to practice law.
- At least 5 years of relevant legal experience with a law firm, governmental agency, or as in-house counsel.
- At least 1 year of experience with a health insurer, healthcare organization, PBM, or other relevant organization.
- Experience interpreting and applying healthcare regulatory requirements.
- Experience counseling business leaders on complex regulatory and operational issues.
- Experience providing legal advice in a highly regulated environment.
- Ability to analyze complex legal issues and provide practical, risk-based recommendations.
- Solid written and verbal communication skills.
- Ability to influence stakeholders and build consensus across multiple functions.
- Ability to manage numerous competing priorities in a fast-paced environment.
- Experience supporting healthcare products, healthcare operations, clinical programs, reimbursement activities, or pharmacy-related initiatives.
Nice To Haves
- Experience supporting pharmacy benefit programs, pharmacy operations, or pharmaceutical-related matters.
- Experience advising managed care organizations, health insurance companies, PBMs, provider organizations, or life sciences organizations.
- Experience supporting formulary development, drug coverage determinations, utilization management programs, or P&T Committee processes.
- Experience supporting Commercial, Exchange, and/or Medicaid products.
- Experience supporting state insurance regulatory examinations, investigations, or audits.
- Experience negotiating healthcare, pharmacy, clinical, or vendor agreements.
- Understanding of pharmacy economics, affordability initiatives, and healthcare cost-management strategies.
- Experience advising executive leaders on high-profile enterprise initiatives.
- Experience leading cross-functional projects involving regulatory or operational change.
Responsibilities
- Provide legal counsel on pharmacy benefit design, administration, and operations across Commercial, Exchange, and Medicaid products.
- Advise business and clinical stakeholders on formulary development, drug coverage policies, utilization management programs, prior authorization requirements, and related pharmacy initiatives.
- Support Pharmacy & Therapeutics (P&T) Committee governance and related legal and regulatory considerations.
- Counsel pharmacy leadership on state and federal laws, regulations, agency guidance, and enforcement developments affecting pharmacy benefit programs.
- Advise on implementation of new regulatory requirements and help develop compliant operational solutions.
- Partner with compliance, regulatory, product, and operational teams to assess legal risks and develop mitigation strategies.
- Review and negotiate contracts and other arrangements involving pharmacy vendors, PBMs, clinical partners, and related service providers.
- Support regulatory examinations, audits, investigations, and responses to governmental inquiries.
- Provide legal support for strategic initiatives involving pharmacy affordability, access, clinical innovation, and member experience.
- Provide senior leaders with practical guidance on complex legal, regulatory, and business issues.
- Collaborate across Legal, Compliance, Government Affairs, Product, Clinical Services, Finance, and Operations.
- Review AI-related initiatives and provide legal guidance on the development, implementation, and use of AI-enabled tools and solutions.
- Identify opportunities to use AI to improve efficiency, streamline processes, and enhance legal and business operations.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
