Market Access Lawyer - Pharmaceutical Industry
About The Position
We are currently seeking experienced Market Access Lawyers to work with leading pharmaceutical companies. This role involves providing proactive, business-oriented legal and compliance advice on market access, pricing, and reimbursement strategies for pharmaceutical and biologic products. The lawyer will also advise on government pricing and reporting, support coverage, coding, and reimbursement initiatives, and draft, review, and negotiate various market access-related agreements. Additionally, the role requires counseling on patient support programs, co-pay assistance, and ensuring compliance with applicable laws and regulations. Staying current on U.S. federal and state laws impacting market access is crucial.
Requirements
- 5–8 years of experience as an attorney in a law firm and/or in‑house with a pharmaceutical or biopharmaceutical company, with a significant focus on market access, pricing, reimbursement, and/or government price reporting.
- Experience drafting and negotiating PBM, payer, GPO, wholesaler, rebate, and other market access–related agreements.
- Prior experience counseling on legal issues relating to advertising and promotion, scientific exchange, patient support programs, and interactions with health care professionals and payers.
- Strong knowledge of, and experience advising on, statutes, regulations, and guidance applicable to commercial and market access activities, including FDCA and FDA regulations and guidance; Federal and state anti‑kickback statutes and beneficiary inducement rules; OIG guidance documents and advisory opinions; False Claims Act; PhRMA Code and relevant industry standards.
- Demonstrated ability to translate complex regulatory requirements into practical, risk‑based contracting and access strategies.
- Efficient multitasker with strong interpersonal and communication skills; able to work independently and cross‑functionally with market access, commercial, medical, regulatory, compliance, and finance teams.
- Positive, solutions‑oriented mentality and willingness to tackle new and evolving business needs in a fast‑paced environment.
- Licensed and in good standing to practice law in your state of primary residence.
Responsibilities
- Provide proactive, business‑oriented legal and compliance advice on market access, pricing, and reimbursement strategies for pharmaceutical and biologic products.
- Advise on government pricing and reporting (e.g., Medicaid Best Price, AMP, ASP, 340B, VA/FSS) and the impact of commercial contracting strategies on those obligations.
- Support coverage, coding, and reimbursement initiatives with market access, HEOR, trade/channel, and pricing teams.
- Draft, review, negotiate, and advise on a broad range of market access–related agreements, including PBM, payer, and GPO agreements; Wholesaler, specialty pharmacy, and distribution agreements; Discount, rebate, and value‑based/outcomes‑based contracts; and Consulting, advisory board, master services, and data‑sharing agreements related to market access activities.
- Counsel on the design and implementation of patient support programs, co‑pay assistance, and related arrangements, with attention to anti‑kickback and False Claims Act risk.
- Partner with commercial, medical, regulatory, and compliance teams to ensure that access‑related strategies, communications, and materials comply with applicable laws, regulations, and industry codes.
- Stay current on U.S. federal and state laws, regulations, and enforcement trends impacting market access, pricing, reimbursement, and interactions with payers, PBMs, and health care professionals.
Benefits
- health, dental, and vision insurance
- paid holidays and PTO
- flexible work arrangements
- professional development opportunities and tools
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
