Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
Core
Provide legal guidance and advice on federal and state healthcare regulations to internal stakeholders and senior management.
Role type
Senior in-house legal counsel (healthcare/PBM)
Builds
Legal risk assessments, regulatory compliance strategies, and corrective action plans for market conduct exams.
Domain
Healthcare industry, Pharmacy Benefit Management (PBM), US Federal and State law
Required skills
Legal research, regulatory analysis, risk assessment, stakeholder management, contract review, compliance strategy
Preferred skills
Healthcare law expertise (ACA, Medicare, Medicaid, ERISA), PBM operations knowledge, government agency relations
Technologies
Legal research databases, regulatory tracking tools
Responsibilities
Advise on federal/state healthcare regulations, prepare communications with state regulators, analyze adverse market conduct exam findings, identify legal risks for business areas, collaborate with Compliance and Government Affairs, assist in onboarding junior staff
Seniority
Senior, hands-on IC