Managing Senior Counsel - PBM, Healthcare Services

CVS Health•Buffalo Grove, IL

2d•Hybrid

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As Managing Senior Legal Counsel, you will lead a team of 6 attorneys that provide primary legal support for the CVS Health pharmacy benefit management, Healthcare Services business. This will include providing strategic legal advice to internal business partners with respect to client engagements, healthcare programs and services, and healthcare regulations and laws. You will proactively and collaboratively work with business partners and other attorneys on a wide variety of contract and compliance matters. You will be expected to develop a keen understanding of the business and operational goals of assigned internal clients and work diligently to develop and maintain positive relationships with clients at all levels of the organization. As part of the Legal team, you will work with a dynamic in-house legal department and play a key role in supporting a wide variety of business initiatives, including: Advising internal business clients with respect to the application of federal and state laws and regulations to the business activities of CVS Caremark. Undertaking legal research and providing legal expertise on health care programs and services and company-wide initiatives; Providing daily risk-management support for assigned businesses. Work collaboratively with Client Account Management, Proposals, Finance, Compliance, Government Affairs, Privacy and other business and operational stakeholders to ensure compliance with applicable federal and state laws and regulation in connection with a variety of projects and initiatives. Identify legal and business risks and provide solutions to internal business partners that balance legal risks and business objectives and take an active role in driving projects to a final result. Manage outside counsel and support internal stakeholders to protect company assets, mitigate risk, and optimize operational performance. Supporting review of product portfolios and marketing materials and member/customer/provider communications pertaining to assigned areas. Support the drafting, review and negotiation of contracts for a wide variety of engagements.

Requirements

10 + years of experience as an attorney with working knowledge of healthcare laws and regulations, the False Claims Act, and the Federal Anti-Kickback Statute.
Excellent drafting and negotiation skills
Experience advising a health care services organization.
Strong verbal and written communication skills.
Ability to handle multiple priorities within deadlines without significant direct supervision.
Excellent analytical and problem-solving skills.
Lead and influence others and while working collaboratively at all levels with internal and external parties.
Licensed to practice law and current, active member in good standing of a state bar.

Nice To Haves

Experience with the laws and regulations that impact pharmacy and prescription benefit management services, including ERISA, HIPAA, Consolidated Appropriations Act, Medicare, Medicaid, and various other Federal and State laws and regulations.
Experience identifying business and legal risk while providing solutions to balance legal issues with business objectives.
Experience managing outside counsel and consultants.

Responsibilities

Advising internal business clients with respect to the application of federal and state laws and regulations to the business activities of CVS Caremark.
Undertaking legal research and providing legal expertise on health care programs and services and company-wide initiatives
Providing daily risk-management support for assigned businesses.
Work collaboratively with Client Account Management, Proposals, Finance, Compliance, Government Affairs, Privacy and other business and operational stakeholders to ensure compliance with applicable federal and state laws and regulation in connection with a variety of projects and initiatives.
Identify legal and business risks and provide solutions to internal business partners that balance legal risks and business objectives and take an active role in driving projects to a final result.
Manage outside counsel and support internal stakeholders to protect company assets, mitigate risk, and optimize operational performance.
Supporting review of product portfolios and marketing materials and member/customer/provider communications pertaining to assigned areas.
Support the drafting, review and negotiation of contracts for a wide variety of engagements.

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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