Associate General Counsel / Senior Managing Counsel, Pharmacy Network Operations

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

📋 Description

• Lead and nurture a team of attorneys who support the pharmacy network operations within the PBM organization.

• Act as the primary legal advisor for the strategy, initiatives, and business objectives related to pharmacy network operations.

• Provide ongoing legal counsel regarding pharmacy network operations including contracting, reimbursement, credentialing, network strategy, and regulatory compliance.

• Offer advice on state and federal laws and regulations that affect PBMs, pharmacy networks, and the healthcare supply chain.

• Draft, review, negotiate, and offer strategic insights on complex agreements related to healthcare and pharmacy.

• Collaborate with business leaders on strategic initiatives, business transformations, and enterprise projects that influence pharmacy network operations.

• Partner with internal legal teams, encompassing regulatory, compliance, privacy, litigation, and transactional counsel.

• Build strong relationships with senior business stakeholders and act as a trusted advisor to leadership.

• Ensure the provision of high-quality legal support while balancing legal risks with business objectives.

• Mentor, coach, and develop attorneys while fostering a collaborative and high-performing team environment.

⛳️ Requirements

• Juris Doctor (JD) degree from an accredited law school.

• Active license to practice law in at least one U.S. jurisdiction.

• A minimum of 10+ years of legal experience, with significant healthcare regulatory and transactional expertise.

• At least 6+ years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or similar PBM functions.

• A minimum of 3+ years of experience in people leadership, managing attorneys or legal professionals.

• Proven experience advising PBM business leaders on operational, strategic, and regulatory issues.

• Experience in drafting and negotiating complex agreements related to healthcare, pharmacy, networks, or supply chains.

• Strong understanding of federal and state healthcare laws and regulations, including the Anti-Kickback Statute, HIPAA, and other laws related to healthcare fraud and abuse.

• Demonstrated ability to think strategically, exercise sound judgment, and provide practical, business-oriented legal advice.

• Excellent written and verbal communication skills, with the ability to influence senior stakeholders.

• Experience in advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations.

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

• If working from home, a cable broadband or fiber optic internet connection with a minimum of 10Mbps download and 5Mbps upload speed.

🏝️ Benefits

• Eligibility for annual bonuses.

• Participation in long-term incentive plans.

• Comprehensive medical benefits.

• Vision benefits.

• Dental benefits.

• Access to well-being and behavioral health programs.

• 401(k) retirement plan.

• Company-paid life insurance.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off annually.

• Paid holidays.

• Leaves of absence.