Associate General Counsel - Remote

UnitedHealth Group•Minneapolis, MN

1d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function is responsible to operate in a strategic and pro-active manner to assist Business leaders of Optum Frontier Therapies and other Optum integrated pharmacies with negotiation of contracts as well as management of legal and regulatory risks. Role reports directly to Associate General Counsel. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

Juris Doctorate degree with Bar admission in at least one state
7+ years of legal experience in health care regulatory and transactional practices, including deep understanding of the specialty pharmacy dispensing and distribution industries
Experience advising business leaders on compliance with various health care laws and regulations, including the Federal Anti-kickback Statute, the False Claims Act, the Health Insurance Portability and Accountability Act (“HIPAA”), Medicare regulations, as well as state Medicaid laws, regulations, and policies
Familiarity with the requirements and procedures of regulatory agencies, particularly with state Boards of Pharmacy, state Medicaid agencies, CMS, and state insurance departments
Demonstrated understanding of business problems related to assigned legal projects
Demonstrated capability to build and maintain rapport with superiors, peers, subordinates, and external company contacts, with full capability to lead and contribute to team effort
Demonstrated ability to evaluate and determine appropriate legal course of action to meet business unit needs
Demonstrated ability to review and revise contracts in a timely manner with flexibility for more urgent turnaround times
Demonstrated ability to provide presentable, correctly formatted templates and other external-facing documents to the business’ external company contacts
Demonstrated well-developed written and verbal communications skills
Proven proactive project management, prioritization, and organizational skills
Proven excellent presentation skills
Proven ability to provide brief, well-rounded answers to legal and regulatory questions from the business

Nice To Haves

10+ years of legal experience in health care regulatory and transactional practices within the managed care legal environment
Legal experience working with a state or federal healthcare regulatory agency, i.e., CMS, NIH, FDA, Board of Pharmacy, OIG or DEA
Business or legal experience with specialty pharmacy operations and/or pharmacy wholesale distribution
Experience with negotiation of contracts with pharmacy supplier, vendor and technology entities
Experience with the negotiation of intellectual property rights, uses, licenses, and restrictions
Solid understanding of health insurance and/or managed care industry, particularly the regulatory framework for pharmacy benefit management entities
Familiarity with the legally permissible uses and legally required handling of protected health information (PHI) under HIPAA and state privacy laws

Responsibilities

Positions in this function provide legal advice and services on issues concerning the rights, obligations, risks and privileges of the organization
Protect the pharmacies’ rights in contract negotiations and disputes
Support pharmacy business clients in drafting, managing, reviewing, and revising agreements, statements of work, and amendments with pharmaceutical manufacturers, payors and PBMs, customers, data aggregators, vendors, and other strategic partners
Review manufacturers’ and their vendors’ consent forms, letters, telephone call scripts, and other communications to pharmacy patients to ensure their compliance with applicable laws, regulations, and organizational policies
Provide effective advice and counsel on regulatory and transactional matters to the leaders of Optum Frontier Therapies and other Optum integrated pharmacies
Acquire deep knowledge of the pharmacy industry and the specific business practices of the Optum integrated pharmacy business within UnitedHealth Group so as to best advise the pharmacies’ senior business leaders
Supports Deputy General Counsel with management of strategic projects that involve multiple OptumRx integrated pharmacies
Supports OptumRx Compliance team with responses to requests for information from state Medicaid agencies and their contractors
Provides a full range of legal advice and services and may specialize in one of more areas such as transactional work, commercial law, contracts law, regulatory matters, and healthcare compliance