Senior Legal Counsel (Litigation) - Remote

Prime Therapeutics•Home, WV

21h•$143,000 - $243,000•Remote

About The Position

The Senior Legal Counsel (Litigation) drives litigation strategy, manages a diverse portfolio of complex litigation, proactively identifies and mitigates risk, and provides legal advice to senior leadership. Reporting to the AVP, Litigation, this role serves as an in-house strategic adviser to the business and manages risk from pre-litigation assessment through resolution and implementation of risk-mitigation strategies. The position handles litigation, investigations, and disputes across areas including antitrust, ERISA, contract, False Claims Act, Anti-Kickback Statute, fraud, waste and abuse, and regulatory matters. It also directs outside counsel and litigation vendors, discovery, litigation holds, settlement efforts, insured matters, and legal training, and provides guidance to department staff. The role requires a Juris Doctor degree, a current state attorney's license, and at least seven years of experience practicing as an attorney or related legal experience in a regulatory or compliance role, including at least five years as an attorney representing managed care companies or other healthcare clients. The candidate must be eligible to work in the United States without work visa or residency sponsorship. The stated pay range is $143,000 to $243,000, based on experience and skills. The position is remote.

Requirements

Juris Doctor degree and current state attorney's license.
At least 7 years of experience practicing as an attorney or related legal experience in a regulatory or compliance role, including at least 5 years as an attorney representing managed care companies or other healthcare clients.
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
Excellent written and oral communication skills.
Demonstrated experience independently managing complex litigation and investigations through all phases, including pre-litigation assessment, discovery, dispositive motions, settlement, and trial preparation.
Experience managing litigation or investigations involving significant e-discovery, complex data, and large-scale document productions.
Experience directing and supervising outside counsel and managing budgets.
Ability to exercise independent judgment and provide practical, business-oriented advice in matters involving significant legal, financial, reputational, or regulatory risk.
Ability to influence business clients and effect necessary changes in policies or behaviors.
Ability to manage multiple high-stakes matters with competing priorities and coordinate internal stakeholders, outside counsel, experts, insurers, and other third parties.
Financial acumen and familiarity with common business finance principles.
Ability to distill complex concepts or situations into concise and compelling communications.
Advanced negotiation, influence, and stakeholder management skills.
Comply with job-specific security responsibilities and applicable legal, regulatory, contractual, and internal requirements.

Nice To Haves

Experience with litigation involving PBMs, pharmacies, or health benefit insurers.
Experience managing multidistrict litigation or similar mass-action litigation or arbitration.
Experience with government enforcement matters, including state attorney general actions and investigations.
Experience managing complex litigation in an in-house position.
Experience advising senior and executive leaders on complex healthcare, regulatory, transactional, or litigation matters.
Experience collaborating with health plan, client, owner, or other stakeholder counsel.

Responsibilities

Independently manage a diverse portfolio of litigation, investigations, and disputes across subject areas including antitrust, ERISA, contract, False Claims Act, Anti-Kickback Statute, fraud, waste and abuse, and regulatory matters.
Develop and direct litigation strategy, including selecting, retaining, and managing outside counsel and litigation vendors; negotiating rates and alternative fee arrangements; monitoring performance and spend; and ensuring efficient legal services.
Assess threatened and emerging disputes; partner with business leaders to investigate them; evaluate legal exposure, business impact, potential damages, and resolution options; and develop risk-mitigation strategies.
Drive resolution efforts, including preparing settlement recommendations and negotiating settlement agreements.
Direct discovery on complex matters, including productions, protective orders, custodial interviews, and data collection.
Oversee litigation holds and preservation obligations.
Respond to civil investigative demands and subpoenas.
Monitor developing litigation and regulatory risks and recommend changes to business practices, policies, contracts, or controls to reduce future legal exposure.
Inform and advise legal leadership and executives on litigation strategy and status.
Manage insured litigation matters with insurance carriers, including providing timely claim notice, evaluating coverage and reservation-of-rights issues, satisfying reporting obligations, and pursuing reimbursement of covered defense costs and settlements.
Develop and deliver training and guidance on legal principles, emerging issues, and risk considerations.
Mentor department staff and provide practice-area guidance to strengthen legal capability and consistency.
Perform other duties as assigned.
Understand, comply with, and attest to security responsibilities and controls unique to the role, and comply with applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Perform the essential functions of the job; reasonable accommodations are available upon request as described in the posting.