Overview
An established pharmacy benefit management (PBM) business is seeking an Assistant General Counsel based in the United States. This role offers an experienced healthcare attorney the opportunity to serve as the primary legal advisor, providing strategic counsel on regulatory compliance, commercial agreements, and business growth initiatives. The position is remote and involves close collaboration with senior leadership and cross-functional teams to navigate healthcare regulations and balance legal risk with business objectives.
Responsibilities
- Act as the primary legal advisor for the PBM business, offering strategic guidance to executive leadership on regulatory, contractual, and operational matters.
- Interpret and advise on state and federal healthcare regulations, including PBM laws, HIPAA, ERISA, and emerging legislation.
- Structure, draft, review, and negotiate a broad range of commercial agreements supporting business growth and protecting organizational interests.
- Collaborate with cross-functional stakeholders to identify legal risks, develop practical solutions, and support strategic initiatives.
- Respond to regulatory inquiries and assist with interactions involving Departments of Insurance, compliance investigations, and litigation matters.
- Provide legal support to additional business units as needed, oversee outside counsel, and contribute to legal department initiatives and operational improvements.
- Lead special projects, mentor legal team members, promote consistency in legal operations, and foster a collaborative, high-performing legal function.
Requirements
- Juris Doctor (JD) degree from an accredited law school and an active license to practice law in at least one U.S. jurisdiction.
- Minimum of 10 years of legal experience, including significant in-house experience supporting a PBM or health insurance carrier.
- Deep knowledge of healthcare laws and regulations affecting PBMs, including state PBM regulations, HIPAA, ERISA, and related compliance requirements.
- Proven expertise in drafting, negotiating, and managing complex commercial contracts and legal agreements.
- Strong analytical, negotiation, problem-solving, and risk assessment skills with the ability to provide practical, business-oriented legal advice.
- Demonstrated ability to influence executive stakeholders, manage competing priorities, and support fast-paced business operations with sound legal judgment.
- Exceptional written, verbal, and interpersonal communication skills, capable of explaining complex legal concepts clearly to diverse audiences.
- Strong leadership skills with experience managing legal initiatives, collaborating across departments, mentoring team members, and overseeing outside counsel.
- High ethical standards, professional integrity, intellectual curiosity, adaptability, and a collaborative approach to solving complex business and legal challenges.
Compensation & Benefits
- Competitive annual base salary ranging from $240,000 to $259,000, based on experience, qualifications, and location.
- Fully remote work arrangement within the United States, with occasional travel for meetings, client engagements, conferences, and company events.
- Comprehensive medical coverage including a nationwide Blue Cross Blue Shield PPO plan with employee-friendly cost sharing.
- Company-paid basic life insurance, accidental death and dismemberment (AD&D) coverage, short-term disability, and long-term disability insurance.
- Dental, vision, prescription drug coverage, and flexible spending account (FSA) options.
- Employer-matched 401(k) retirement savings plan.
- Industry-leading paid time off (PTO) program.
- Comprehensive mental health and wellbeing resources.
Location
- United States (remote position with occasional travel as required)