Senior Managing Counsel – Pharmacy Network Operations

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

📋 Description

• Oversee and cultivate a team of attorneys dedicated to pharmacy network operations within the PBM organization.

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

• Offer daily legal counsel regarding pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and compliance with regulations.

• Provide guidance on state and federal laws and regulations that impact 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 influencing pharmacy network operations.

• Work in conjunction with regulatory, compliance, privacy, litigation, and transactional legal teams.

• Establish strong relationships with senior business stakeholders and provide counsel to leadership.

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

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

⛳️ Requirements

• Juris Doctor (JD) from a recognized law school.

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

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

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

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

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

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

• In-depth knowledge of federal and state healthcare laws and regulations, including the Anti-Kickback Statute, HIPAA, and other laws addressing healthcare fraud and abuse.

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

• Exceptional written and verbal communication skills with the capability to influence senior stakeholders.

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

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

• For remote work, a broadband or fiber optic internet service with a minimum speed of 10Mbps download and 5Mbps upload.

🏝️ Benefits

• Eligibility for annual bonuses.

• Participation in long-term incentive plans.

• Comprehensive medical benefits.

• Vision coverage.

• Dental insurance.

• Access to well-being and behavioral health programs.

• 401(k) retirement plan.

• Company-paid life insurance.

• Tuition reimbursement assistance.

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

• Paid holidays.

• Leaves of absence options.

• Flexible remote work arrangements.

• Commitment to a tobacco-free workplace.