Senior Managing Counsel-Pharmacy Network Operations

The Cigna Group•, MO

4d•$197,000 - $328,300•Remote

About The Position

This leadership position manages a team of attorneys supporting pharmacy network operations for the Company's Pharmacy Benefit Management (PBM) business and its affiliates. The role serves as primary legal counsel to pharmacy network operations leadership, providing strategic legal guidance on operational, regulatory, transactional, and business matters affecting the PBM supply chain. The Senior Managing Counsel partners with business leaders to support strategic initiatives, mitigate risk, and provide practical legal solutions in a complex and evolving regulatory environment. The role calls for significant PBM legal experience, people leadership experience, and a strong understanding of federal and state laws governing PBMs, pharmacy networks, and the healthcare supply chain. The position is remote. Employees working from home occasionally or permanently must have cable broadband or fiber-optic internet service with speeds of at least 10 Mbps download and 5 Mbps upload. The anticipated annual salary is $197,000–$328,300, depending on relevant factors including experience and geographic location. The role is also anticipated to be eligible for an annual bonus and long-term incentive plan. The Cigna Group describes its mission as improving the health and vitality of the people it serves through Cigna Healthcare and Evernorth Health Services. It states that qualified applicants will be considered without regard to legally protected characteristics and provides an accommodation contact for applicants who need assistance with the online application process. The company has a tobacco-free policy and may decline to hire tobacco or nicotine users in certain states where legally permitted. Qualified applicants with criminal histories will be considered in accordance with applicable laws.

Requirements

Juris Doctor (JD) from an accredited law school.
Active license to practice law in at least one U.S. jurisdiction.
At least 10 years of legal experience, including substantial healthcare regulatory and transactional experience.
At least 6 years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions.
At least 3 years of people leadership experience managing attorneys or legal professionals.
Demonstrated experience advising PBM business leaders on operational, strategic, and regulatory matters.
Experience drafting and negotiating complex healthcare, pharmacy, network, or supply chain agreements.
Strong knowledge of federal and state healthcare laws and regulations, including the Anti-Kickback Statute, HIPAA, and other healthcare fraud and abuse laws.
Ability to think strategically, exercise sound judgment, and provide practical, business-focused legal advice.
Excellent written and verbal communication skills, including the ability to influence senior stakeholders.
Experience advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations.
Prior in-house healthcare legal experience supporting a PBM or health plan.
For home-based work, cable broadband or fiber-optic internet service with speeds of at least 10 Mbps download and 5 Mbps upload.

Responsibilities

Lead and develop a team of attorneys supporting the PBM pharmacy network operations business.
Serve as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives.
Provide day-to-day legal counsel on pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and regulatory compliance.
Advise on state and federal laws and regulations affecting PBMs, pharmacy networks, and the healthcare supply chain.
Draft, review, negotiate, and provide strategic guidance on complex healthcare and pharmacy-related agreements.
Partner with business leaders on strategic initiatives, business transformations, and enterprise projects affecting pharmacy network operations.
Collaborate with internal legal teams, including regulatory, compliance, privacy, litigation, and transactional counsel.
Develop relationships with senior business stakeholders and serve as a trusted advisor to leadership.
Deliver high-quality legal support while balancing legal risk and business objectives.
Mentor, coach, and develop attorneys while promoting a collaborative, high-performing team culture.