Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
CVS Health•Island, KY
•$175,100 - $334,750
About The Position
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM), you will provide legal guidance, interpretation, advice, and recommendations to internal stakeholders and senior/executive management regarding federal and state regulations in the healthcare industry. You will serve as a subject matter expert, providing legal advice and interpretation of newly enacted legal requirements.
Requirements
- At least 8 years of legal attorney experience in a law firm and/or in-house setting.
- Mastery of problem-solving and decision-making skills.
- Mastery of collaboration and teamwork.
- Mastery of growth mindset skills, including agility and developing yourself and others.
- Mastery of execution and delivery skills, including planning, delivering, and supporting.
- Mastery of business intelligence.
- Juris Doctor (JD) required.
- Bachelor’s degree required.
Nice To Haves
- In-depth knowledge of healthcare laws, regulations, and industry standards governing health plans and healthcare, including the Affordable Care Act, Medicare, Medicaid, ERISA, state any-willing-provider laws, and other state provider-network issues.
- Experience working with state and federal government agencies and healthcare laws and regulations.
- Experience working with PBMs, the pharmacy division of a health plan, and/or health plans.
Responsibilities
- Provide advanced legal advice and counsel to promote company mandates and protect the company’s overall interests.
- Prepare communications with state regulators, examiners, and/or consultants, often on short timelines.
- Research and analyze state laws and regulations.
- Perform legal review and assessment of adverse state market conduct examination findings and consent orders.
- Identify and review legal risks for business areas and subject matter experts to assess market conduct impact and corrective action plans.
- Provide legal expertise on company-wide initiatives, including legal research and advice related to various parts of the CVS Health enterprise.
- Collaborate cross-functionally with the Law Department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
- Assist with onboarding junior-level staff to support the development of departmental capabilities.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Paid time off
- Retirement savings options
- Wellness programs
- CVS Health bonus, commission, or short-term incentive program eligibility
- Company equity award program
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
