Senior Legal Counsel - Pharmacy Benefit Manager (PBM)

Overview

This role provides legal guidance and recommendations to internal stakeholders and senior/executive management regarding federal and state regulations affecting the healthcare industry. As a Senior Legal Counsel focused on Pharmacy Benefit Manager (PBM) matters, you will serve as a subject matter expert by interpreting and advising on newly enacted legal requirements.

Responsibilities

• Provide advanced legal advice and counsel to support organizational mandates and protect overall organizational interests.
• Prepare communications with state regulators, examiners, and/or consultants, including for expected deadlines and short timelines.
• Research and analyze state laws and regulations.
• Perform legal review and assessment of adverse state market conduct exam findings and consent orders.
• Identify and review legal risk for business areas and subject matter experts to assess market conduct impact and support corrective action plans.
• Deliver legal expertise on organization-wide initiatives that may require legal research and advice across different areas of the enterprise.
• Collaborate cross-functionally with Law, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
• Assist with onboarding junior-level staff to develop departmental capabilities.

Required Qualifications

• 8+ years of legal attorney experience in a law firm and/or in-house setting
• Strong problem-solving and decision-making skills
• Strong collaboration and teamwork skills
• Strong growth mindset (agility and developing yourself and others)
• Strong execution and delivery skills (planning, delivering, and supporting)
• Strong business intelligence capabilities

Preferred Qualifications

• In-depth knowledge of healthcare laws, regulations, and industry standards governing the provision of health plans and healthcare, including, for example: Affordable Care Act, Medicare, Medicaid, ERISA, state any willing provider, and other state provider network issues
• Experience working with state and federal government agencies and healthcare laws and regulations
• Experience working with Pharmacy Benefit Managers and/or the pharmacy division of a health plan and/or with health plans

Education

• JD required
• Bachelor’s Degree required

Compensation & Benefits

Pay Range

• $175,100.00 - $334,750.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on experience, education, geography, and other relevant factors.

This position is eligible for a bonus, commission, or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the organization’s equity award program.

Benefits

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including medical, dental, and vision coverage; paid time off; retirement savings options; wellness programs; and other resources, based on eligibility.

Additional details about available benefits are provided during the application process.

Application Deadline

The application window for this opening is anticipated to close on: 11/27/2026

Equal Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.