Senior Legal Counsel - Healthcare Contracting

CVS Health•Woonsocket, RI

About The Position

CVS Health is building a world of health around every individual, shaping a more connected, convenient, and compassionate health experience. The company is committed to fostering a workplace where colleagues feel valued and belong, simplifying health care one person, one family, and one community at a time. As a Senior Legal Counsel – Healthcare Contracting, you will be a leader in the dynamic legal team, providing strategic legal advice to internal business partners and leadership. Your responsibilities will include drafting and negotiating prescription benefit management (PBM) contracts with CVS Health’s health plan clients. You will actively advise internal partners on various matters, working with other team members to interpret and administer PBM service agreements, provide legal and regulatory compliance interpretation, and offer general legal advice. Additionally, you will identify business and legal risks and recommend solutions that balance these risks with business objectives.

Requirements

5+ years of experience in transactional and/or complex contracting in-house or with a law firm, preferably in the healthcare space
Basic knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute
Commitment to high standards in work product
Admitted to practice law in at least one state
Ability to travel up to 10%
JD Required
Bachelors Degree Required

Nice To Haves

Strong working knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute
Experience with PBM
Expertise in negotiating and drafting a variety of complex contracts
Strong business insight
Excellent written and oral communication skills, initiative, drive and self-confidence

Responsibilities

Provide strategic legal advice to internal business partners and leadership
Draft and negotiate prescription benefit management (PBM) contracts with CVS Health’s health plan client
Actively advise internal partners on an array of matters
Work in conjunction with other team members and business partners to interpret and administer PBM service agreements
Provide legal and regulatory compliance interpretation, and general legal advice
Identify business and legal risks and recommend solutions that balance those risks with business objectives
Develop a deep understanding of the business and operational goals of assigned internal clients
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
Take an active role in driving projects to a successful conclusion
Provide counsel directly to the PBM division leadership