CareerPlan

Senior Legal Counsel - Pharmacy Benefit Manager (PBM)

Work At Home-Rhode Island, USFull-time$175k–$335k2026-10-26 → 2026-11-12

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