Overview
An organization is seeking experienced Market Access Lawyers to collaborate with leading pharmaceutical companies. This role involves providing legal and compliance advice focused on market access, pricing, and reimbursement strategies for pharmaceutical and biologic products.
Responsibilities
- Provide proactive, business-oriented legal and compliance advice on market access, pricing, and reimbursement strategies.
- Advise on government pricing and reporting obligations, including Medicaid Best Price, AMP, ASP, 340B, VA/FSS, and the impact of commercial contracting strategies.
- Support coverage, coding, and reimbursement initiatives in partnership with market access, HEOR, trade/channel, and pricing teams.
- Draft, review, negotiate, and advise on a broad range of market access–related agreements, such as:
- PBM, payer, and GPO agreements
- Wholesaler, specialty pharmacy, and distribution agreements
- Discount, rebate, and value-based/outcomes-based contracts
- Consulting, advisory board, master services, and data-sharing agreements related to market access activities
- Counsel on the design and implementation of patient support programs, co-pay assistance, and related arrangements, with attention to anti-kickback and False Claims Act risks.
- Collaborate with commercial, medical, regulatory, and compliance teams to ensure access-related strategies, communications, and materials comply with applicable laws, regulations, and industry codes.
- Stay current on U.S. federal and state laws, regulations, and enforcement trends impacting market access, pricing, reimbursement, and interactions with payers, PBMs, and health care professionals.
Minimum Qualifications
- 5–8 years of experience as an attorney in a law firm and/or in-house with a pharmaceutical or biopharmaceutical company, focusing significantly on market access, pricing, reimbursement, and/or government price reporting.
- Experience drafting and negotiating PBM, payer, GPO, wholesaler, rebate, and other market access–related agreements.
- Prior experience counseling on legal issues related to advertising and promotion, scientific exchange, patient support programs, and interactions with health care professionals and payers.
- Strong knowledge of statutes, regulations, and guidance applicable to commercial and market access activities, including:
- FDCA and FDA regulations and guidance
- Federal and state anti-kickback statutes and beneficiary inducement rules
- OIG guidance documents and advisory opinions
- False Claims Act
- PhRMA Code and relevant industry standards
- Demonstrated ability to translate complex regulatory requirements into practical, risk-based contracting and access strategies.
- Efficient multitasker with strong interpersonal and communication skills; able to work independently and cross-functionally with market access, commercial, medical, regulatory, compliance, and finance teams.
- Positive, solutions-oriented mentality and willingness to address new and evolving business needs in a fast-paced environment.
- Licensed and in good standing to practice law in the state of primary residence.
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 PTO; flexible work arrangements; and professional development opportunities.
Location
This role supports pharmaceutical companies and may involve remote or flexible work arrangements depending on business needs.