Senior Legal Counsel - Retail Payer Contracting

CVS Health • Woonsocket, RI

1d

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 - Retail Payer Contracting, you will provide strategic legal counsel to the most senior internal business partners with respect to pharmacy provider agreements, pharmacy services agreements, regulatory compliance, and health-care related regulations and laws. You will proactively advise business partners on a wide variety of matters and work collaboratively with other attorneys and partners on matters related to PBM and health plan agreements and legal and regulatory compliance. You will identify business and legal risks and provide solutions which balance legal issues and business objectives. You will be expected to develop a keen understanding of the retail pharmacy 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. You will recommend practical and sound advice to internal clients on legal issues related to business objectives and take an active role in driving projects to final result.

Requirements

• 8+ years of legal experience with a law firm or healthcare company
• Admitted to practice law in at least one state and member in good standing of applicable state bar association(s)

Nice To Haves

• Experience with pharmacy provider arrangements
• Strong knowledge of healthcare laws and regulations
• Experience in aspects of healthcare related to retail pharmacy services.
• Experience drafting and negotiating complex services agreements.
• Ability to collaborate effectively and work as a team player.
• Excellent written and oral communication skills, initiative, and drive.

Responsibilities

• Interpret and explain contract terms and conditions and regulations that apply to PBM contracts for internal clients.
• Analyze and determine business, economic, and operational impact of contract terms and conditions and regulations on CVS Pharmacy.
• Lead and provide continued support for compliance with those terms and requirements.
• Actively participate in the PBM contracting process, including drafting and negotiating a wide variety of agreements.
• Provide legal expertise on various initiatives, projects and/or specialized legal matters affecting Payer Relations and perform special research projects.
• Work closely and collaboratively with CVS Health legal, compliance and privacy colleagues, including in the regulatory and litigation groups, to support the CVS Pharmacy Payer Relations activities and various retail pharmacy services and programs.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees