Senior Legal Counsel – Litigation

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

📋 Description

• Manage a varied portfolio of litigation, investigations, and disputes autonomously, covering areas such as antitrust, ERISA, contract law, the False Claims Act, the Anti-Kickback Statute, fraud, waste and abuse, and regulatory issues.

• Formulate and direct the strategy for litigation.

• Choose, retain, oversee, and negotiate fees and alternative fee structures with external counsel and litigation service providers.

• Track the performance and expenses of outside counsel to ensure effective legal service delivery.

• Evaluate threatened and emerging disputes and collaborate with business leaders to investigate these issues.

• Assess legal risks, business implications, potential damages, and possible resolution strategies.

• Create strategies to mitigate risks.

• Prepare recommendations for settlements and engage in negotiations for settlement agreements.

• Manage the discovery process on complex cases, which includes document production, protective orders, custodial interviews, and data gathering.

• Supervise litigation holds and preservation duties.

• Address civil investigative demands and subpoenas.

• Keep an eye on litigation and regulatory risks, advising on necessary changes to business practices, policies, contracts, or controls.

• Counsel legal leadership and executives regarding litigation strategies and the current status of cases.

• Oversee insured litigation matters in collaboration with insurance providers, including claims notifications, coverage concerns, reporting responsibilities, and reimbursement of covered expenses.

• Design and implement training and guidance on legal principles, emerging issues, and risk factors.

• Mentor team members and provide guidance in specific practice areas.

• Carry out other assigned responsibilities.

⛳️ Requirements

• Juris Doctor degree and valid attorney's license in the relevant state.

• A minimum of 7 years of experience as an attorney or in a related legal role, including at least 5 years representing managed care organizations or other healthcare clients.

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Proven experience in independently managing complex litigation and investigations through all stages, including pre-litigation assessment, discovery, dispositive motions, settlement negotiations, and trial preparation.

• Demonstrated experience managing litigation and/or investigations involving significant e-discovery, complex data, and extensive document production.

• Experience in directing and overseeing outside counsel while managing budgets effectively.

• Capability to exercise independent judgment and provide practical, business-focused advice concerning significant legal, financial, reputational, or regulatory risks.

• Ability to influence business stakeholders and implement necessary changes in policies or behaviors.

• Skilled in managing multiple high-stakes cases with conflicting priorities and coordinating with internal stakeholders, outside counsel, experts, insurers, and other third parties.

• Financial literacy and understanding of basic business finance principles.

• Proficient in simplifying complex concepts or situations into clear and persuasive communications.

• Advanced skills in negotiation, influence, and stakeholder management.

• Preferred: Experience with litigation involving Pharmacy Benefit Managers (PBMs), pharmacies, and/or health benefit insurers.

• Preferred: Background in managing multi-district litigation or similar mass action litigation or arbitration.

• Preferred: Experience dealing with government enforcement actions, including those initiated by state attorneys general.

• Preferred: Experience in managing complex litigation from an in-house perspective.

• Preferred: Experience advising senior and executive leadership on intricate healthcare, regulatory, transactional, or litigation matters.

• Preferred: Experience collaborating with counsel from health plans, clients, owners, or other stakeholders.

• Must adhere to security responsibilities, legal, regulatory, and contractual obligations, as well as internal policies and procedures.

• Must be capable of performing the essential functions of the job.

🏝️ Benefits

• Benefits, incentives, and additional compensation (details available on the Benefits Page).

• Equal opportunity and affirmative action employer.

• Reasonable accommodations provided for employees with disabilities.

• Tobacco-free workplace.