Senior Legal Counsel - Healthcare Contracting

CVS HealthWoonsocket, RI
$175,100 - $334,750

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 a Senior Legal Counsel – Healthcare Contracting you will provide strategic legal advice to internal business partners and leadership. You will be responsible for drafting and negotiating prescription benefit management (PBM) contracts with CVS Health’s health plan client. In this role you will actively advise internal partners on an array of matters. You will work in conjunction with other team members and business partners to draft, negotiate, interpret and administer PBM service agreements, provide legal and regulatory compliance interpretation, and general legal advice. Additionally, you will identify business and legal risks and recommend solutions that balance those risks with business objectives.

Requirements

  • 8+ years of experience in transactional and/or complex contracting in-house or with a law firm, preferably in the healthcare space
  • You possess a basic knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute
  • You have a commitment to high standards in your work product
  • Admitted to practice law in at least one state
  • Ability to travel up to 10%

Nice To Haves

  • You possess a strong working knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute
  • Pharmacy Benefit Management, health plan pharmacy benefit, and/or pharmacy industry experiences
  • You have expertise in negotiating and drafting a variety of complex contracts
  • The ability to think creatively as a trusted advisor to assist clients in identifying solutions to all manner of issues, including matters in dispute
  • You possess strong business insight
  • You possess excellent written and oral communication skills, initiative, drive and self-confidence

Responsibilities

  • Develop a deep understanding of the business and operational goals of your assigned internal clients, and work diligently to develop and maintain positive relationships with clients at all levels of the organization.
  • Collaborate effectively and work as a member of the broader team, providing practical and sound advice to internal clients on legal issues related to business objectives, and take an active role in driving projects to a successful conclusion.
  • Provide counsel directly to our PBM division leadership.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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