Overview
A legal team is seeking Pricing & Reimbursement Counsels to support healthcare clients, particularly within pharmaceutical and biotech environments. This role focuses on advising patient support programs and ensuring compliance with Fraud & Abuse laws related to copay, HUB, and reimbursement support structures.
Responsibilities
- Provide legal counsel on the design, implementation, and oversight of patient support programs, including copay assistance, HUB services, reimbursement support, and services for high-cost and biologic therapies.
- Advise on Fraud & Abuse risk management, including compliance with the Anti-Kickback Statute, False Claims Act, and related laws as applied to patient support and access programs.
- Review and assess program structures, vendor arrangements, and patient-facing services (such as injection support and access services) to ensure compliance with federal and state requirements.
- Collaborate cross-functionally with Commercial, Market Access, Compliance, and Patient Services teams to support compliant execution of patient access initiatives.
Requirements
- Direct, hands-on experience advising on patient support programs within pharmaceutical or biotech companies.
- Strong expertise in Fraud & Abuse laws and their application to copay assistance, HUB services, and reimbursement support programs.
- Experience working within large pharmaceutical manufacturer infrastructures or similarly complex patient support environments.
- Active legal license in good standing in a U.S. state.
Compensation & Benefits
- Estimated total compensation for full-time attorney roles ranges from $104,500 to $325,000 per year.
- For non-attorney roles, compensation ranges from $71,250 to $309,750 per year.
- Compensation is determined based on factors including experience, skills, certifications, location, and business needs.
- Additional benefits may include health, dental, and vision insurance; paid holidays and paid time off; flexible work arrangements; and professional development opportunities.
Location
This role supports clients across North America and may involve remote or flexible work arrangements depending on business needs.