Senior Attorney, Regulatory & Licensing

Prescryptive Health, Inc.•Washington, DC

2d•$195,000 - $245,000•Remote

About The Position

Prescryptive is seeking a Senior Attorney, Regulatory & Licensing to join its legal team. This role will focus on navigating the complex state and federal regulatory landscape impacting PBM operations, pharmacy, healthcare technology, digital prescribing, and drug pricing transparency. The primary focus will be on state-level PBM regulation, including licensing, registration, reporting, contracting, transparency, network access, and operational requirements. This is a strategic and hands-on position where the attorney will advise on legal and regulatory obligations, translate regulatory changes into practical business guidance, and ensure the company's compliance while fostering innovation. The ideal candidate will have a strong understanding of healthcare, a comfort with rapidly evolving regulatory environments, and the ability to identify changes, assess their implications, communicate them clearly, and partner with the business to implement compliant solutions. Experience with PBM, pharmacy, healthcare technology, prescription drug, or healthcare regulatory matters, along with experience working with state licensing and regulatory authorities, is highly valued. The role requires business judgment to support partnerships with various healthcare stakeholders.

Requirements

Strong understanding of state-level PBM, pharmacy, and related healthcare regulatory requirements, including licensing, registration, reporting, contracting, transparency, network access, and operational compliance obligations.
Ability to monitor, track, interpret, and operationalize emerging state and federal healthcare regulations, especially in PBM, pharmacy, prescription drug, healthcare technology, or payor environments.
Ability to work with and respond to state licensing authorities, regulators, examiners, and other external regulatory bodies.
Ability to translate complex and evolving legal requirements into practical business guidance for legal, compliance, operations, product, technology, and executive stakeholders.
Working knowledge of drug pricing transparency, rebates, formulary design, retail pharmacy network access, HIPAA, data privacy, security, and data sharing requirements.
Ability to support healthcare, pharmacy, PBM, healthcare technology, or payor-related contracts, including advising on regulatory, licensing, reporting, and operational requirements that should be reflected in applicable agreements.
Strong analytical and problem-solving skills, with the judgment to balance legal risk, regulatory expectations, business needs, and operational feasibility.
Excellent written and verbal communication skills, including the ability to provide clear, practical advice to legal and non-legal stakeholders.
Juris Doctor from an ABA-accredited law school.
Admission to practice, in good standing, as a member of at least one state bar or equivalent licensing authority.
Minimum 7 years of relevant legal experience; 10+ years preferred.
Significant experience in healthcare regulatory, PBM, pharmacy, healthcare technology, payor, prescription drug, or related highly regulated healthcare matters.

Nice To Haves

Prior in-house legal experience strongly preferred; comparable law firm experience advising healthcare, PBM, pharmacy, healthcare technology, payor, or prescription drug clients will be considered.

Responsibilities

Monitor, track, interpret, and help operationalize emerging state PBM, pharmacy, and related healthcare laws and regulations, including licensing, registration, reporting, contracting, transparency, network access, and other operational requirements.
Advise internal stakeholders and senior management on federal and state healthcare regulations, including those related to PBM, pharma, pharmacy, and healthcare IT-related laws and regulations.
Support the review, negotiation and drafting of technology, healthcare, and pharmacy-related transactions, particularly where regulatory, licensing, reporting, or operational requirements need to be reflected in contract terms.
Partner with business leaders, IT, security, operations, and the Chief Compliance and Privacy Officer to ensure legal alignment with business objectives and operational execution, and new initiatives.
Interface with and respond to state and federal regulators, examiners, and other external parties.
Collaborate with other legal team members on standard template agreements and process improvements that increase quality, consistency, and speed across the legal function.