Remotery

Assistant General Counsel

Posted Jun 25

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the primary legal advisor for the PBM business unit, providing guidance to executive leadership on strategy, regulatory updates, and business risks.

• Offer sound and practical judgment in interpreting and applying relevant laws, including state PBM regulations, federal PBM reforms, and HIPAA.

• Exhibit strong business insight and the capability to structure, draft, and negotiate contracts.

• Identify legal and compliance challenges as well as business risks, and propose effective, tailored solutions. Escalate issues to other leaders and the General Counsel as necessary.

• Provide counsel on regulatory matters and assist with inquiries from Departments of Insurance.

• Offer backup legal support for other business units, including the Pharmacy Services unit and rebate aggregation.

• Manage a fast-paced and high-volume workload with effective prioritization.

• Lead and oversee key projects as required.

• Communicate effectively across all levels within VytlOne's business entities.

• Comprehend complex legal, compliance, and business contexts, distinguishing between relevant and non-relevant facts.

• Collaborate across functions and develop a deep understanding of the business and its key stakeholders.

• Continuously enhance and maintain legal knowledge in specialized areas, staying updated on regulations, cases, trends, and best practices.

• Identify opportunities to enhance efficiency while ensuring high service levels.

• Provide leadership within the Legal Department by spearheading initiatives, ensuring staff consistency, and adhering to departmental SOPs.

• Communicate professionally and persuasively, providing appropriate support and justification for legal advice and recommendations.

• Manage and supervise outside counsel when necessary.

• Support the management of litigation matters, including disputes, claims, and regulatory investigations.

• Promptly report any allegations of misconduct to the Compliance Department.

• Adhere to VytlOne’s Ethical Business Conduct policy and Compliance Program.

• Remain in good standing without exclusions under the OIG and SAMS Medicare/Medicaid lists.

• Complete assigned training within the specified timeframes.

• Recruit, train, and develop departmental staff; conduct performance evaluations and provide career coaching.

• Foster teamwork and maintain consistent attendance in line with established policies.

• Carry out other job-related responsibilities as assigned.


⛳️ Requirements

• Juris Doctor (JD) degree from an accredited law school and an active Bar license.

• At least 10 years of legal experience, with a significant amount in-house at a pharmacy benefit manager or health insurance carrier; candidates lacking direct in-house PBM or payor experience will not be considered. Experience in healthcare law firms alone does not fulfill this requirement.

• Strong comprehension of state and federal laws governing pharmacy benefit managers, ERISA, HIPAA, and other pertinent healthcare regulations.

• Excellent analytical, problem-solving, and negotiation capabilities.

• Highly effective written and verbal communication skills.

• Exceptional relationship-building and influencing abilities.

• Strong skills in contract drafting and negotiation.

• Highly motivated with the drive and capacity to delve into details, offer insights, and facilitate decision-making.

• Proven ability to translate business objectives into agreements and assist internal clients in navigating legal challenges to support both business goals and the Company's best interests.

• A natural leader with demonstrated capabilities across a diverse range of internal and external stakeholders.

• Adaptable, with the ability to reassess and adjust in response to the dynamic nature of the business.

• Team-oriented with a high level of self-awareness and cross-cultural sensitivity. A successful track record of fostering strong and lasting relationships through a collaborative and engaging approach, maintaining humility.

• Highly intelligent, exhibiting intellectual curiosity to explore and comprehend complex business and legal matters and trends.

• Unquestionable integrity, ethics, and judgment, with the courage and ability to take a firm stance when necessary for the benefit of VytlOne.


🏝️ Benefits

• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including an $850 individual annual medical deductible, $25 office visit copays, and low biweekly premiums.

• Company-paid basic life/AD&D, short-term, and long-term disability insurance.

• Rx, dental, vision, short-term disability, and FSA options.

• Employer-matched 401k Plan.

• Industry-leading PTO plan.

• A positive, high-energy work culture.

• Fantastic team members.

• A growing pharmacy company providing real opportunities for career advancement.

• Comprehensive mental health and wellbeing resources.

• And MORE.

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