Overview
A remote opportunity within the U.S. is available for a Market Access Attorney to provide strategic legal counsel to life sciences clients, including pharmaceutical and biopharmaceutical companies. The role focuses on market access, pricing, reimbursement, and government pricing matters, supporting clients in navigating regulatory requirements and commercial strategies while managing legal and compliance risks.
Responsibilities
- Draft, review, negotiate, and advise on a wide range of market access-related agreements such as PBM, payer, GPO, wholesaler, specialty pharmacy, distribution, rebate, discount, value-based, outcomes-based, consulting, advisory board, master services, and data-sharing agreements.
- Provide legal guidance on market access, pricing, reimbursement, and government pricing obligations, including Medicaid Best Price, Average Manufacturer Price (AMP), Average Sales Price (ASP), 340B, and VA/FSS requirements.
- Advise on coverage, coding, and reimbursement initiatives in collaboration with market access, health economics and outcomes research (HEOR), pricing, trade, and channel teams.
- Counsel clients on the design, implementation, and operation of patient support programs and co-pay assistance programs, focusing on Anti-Kickback Statute and False Claims Act considerations.
- Collaborate with commercial, medical, regulatory, compliance, finance, and market access teams to ensure compliance of access-related strategies, communications, and materials with applicable laws and industry standards.
- Manage legal and compliance issues related to pharmaceutical pricing, reimbursement, government reporting, and payer contracting activities.
- Provide practical, risk-based advice regarding interactions with payers, pharmacy benefit managers (PBMs), healthcare professionals, and government healthcare programs.
- Monitor federal and state regulatory developments, enforcement trends, and industry guidance impacting market access, pricing, reimbursement, and commercial contracting.
Requirements
- 5–8 years of experience as an attorney in a law firm and/or in-house legal department within pharmaceutical, biotechnology, or biopharmaceutical sectors, with significant experience in market access, pricing, reimbursement, and/or government pricing matters.
- Strong knowledge of laws, regulations, and guidance governing pharmaceutical commercial and market access activities, including FDA regulations, the Federal Food, Drug, and Cosmetic Act (FDCA), federal and state Anti-Kickback Statutes, beneficiary inducement rules, OIG guidance and advisory opinions, the False Claims Act, and the PhRMA Code.
- Proven experience drafting and negotiating PBM, payer, GPO, wholesaler, rebate, and other market access-related agreements.
- Experience advising on advertising and promotion, scientific exchange, patient support programs, and interactions with healthcare professionals and payers.
- Ability to translate complex regulatory requirements into practical, business-oriented, and risk-based strategies.
- Excellent communication, negotiation, technology, and problem-solving skills.
- Ability to work independently and collaborate effectively across cross-functional teams.
- Juris Doctor (JD) degree or equivalent and active license to practice law in at least one U.S. jurisdiction.
Preferred Qualifications
- Experience advising on government pricing and reporting requirements, including Medicaid Best Price, AMP, ASP, 340B, and VA/FSS programs.
- Familiarity with value-based contracting, outcomes-based agreements, and innovative reimbursement models.
- Experience supporting pharmaceutical market access, trade, channel, pricing, and HEOR functions.
- Strong understanding of payer, PBM, specialty pharmacy, and distribution channel relationships.
- Ability to navigate evolving regulatory and enforcement landscapes while providing practical business solutions in a fast-paced environment.
Compensation & Benefits
- Estimated total compensation for full-time attorney roles ranges from $104,500 to $325,000 per year.
- Compensation decisions consider 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
- Remote position within the United States.