Senior Managing Counsel-Pharmacy Network Operations

Overview

This leadership role manages a team of attorneys supporting pharmacy network operations within the organization’s Pharmacy Benefit Management (PBM) business and its affiliates. You will serve as primary legal counsel to pharmacy network operations leadership, providing strategic guidance on operational, regulatory, transactional, and business matters affecting the PBM supply chain.

Responsibilities

• Lead and develop a team of attorneys supporting the pharmacy network operations function within the PBM organization.
• Act as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives.
• Provide day-to-day legal counsel on pharmacy network operations, including contracting, reimbursement, credentialing, network strategy, and regulatory compliance.
• Advise on state and federal laws and regulations impacting PBMs, pharmacy networks, and the healthcare supply chain.
• Draft, review, and negotiate complex healthcare and pharmacy-related agreements; provide strategic guidance on these matters.
• Partner with business leaders on strategic initiatives, business transformations, and enterprise projects impacting pharmacy network operations.
• Collaborate with internal legal teams, including regulatory, compliance, privacy, litigation, and transactional counsel.
• Build relationships with senior business stakeholders and serve as a trusted advisor to leadership.
• Ensure delivery of high-quality legal support while balancing legal risk and business objectives.
• Mentor, coach, and develop attorneys; promote a collaborative, high-performing team environment.

Requirements

• Juris Doctor (JD) from an accredited law school.
• Active license to practice law in at least one U.S. jurisdiction.
• Minimum of 10+ years of legal experience, including substantial healthcare regulatory and transactional experience.
• Minimum of 6+ years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions.
• Minimum of 3+ years of people leadership experience managing attorneys or legal professionals.
• Demonstrated experience advising PBM business leaders on operational, strategic, and regulatory matters.
• Experience drafting and negotiating complex healthcare, pharmacy, network, or supply chain agreements.
• Strong knowledge of federal and state healthcare laws and regulations, including Anti-Kickback Statute and HIPAA, and other healthcare fraud and abuse laws.
• Proven ability to think strategically, exercise sound judgment, and provide practical business-focused legal advice.
• Excellent written and verbal communication skills with the ability to influence senior stakeholders.
• Experience advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations.
• Prior in-house healthcare legal experience supporting a PBM or health plan.

Preferred Qualifications

• In-house healthcare legal experience supporting a PBM or health plan.

Compensation & Benefits

• Anticipated annual salary: 197,000 - 328,300 USD / yearly, depending on relevant factors including experience and geographic location.
• Eligible to participate in an annual bonus and long-term incentive plan.
• Comprehensive benefits starting on day one, including medical, vision, dental, and well-being and behavioral health programs.
• 401(k), company paid life insurance, tuition reimbursement.
• Minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

Location

• Remote role.
• If working at home occasionally or permanently: internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Additional Information

• Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
• Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
• Tobacco-free policy: the employer reserves the right not to hire tobacco/nicotine users in states where legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.