Senior Managing Counsel – Pharmacy Network Operations

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

📋 Description

• Lead and cultivate a team of attorneys that support the pharmacy network operations business within the PBM organization.

• Act as the primary legal advisor for pharmacy network operations strategies, initiatives, and business goals.

• Provide daily legal counsel concerning pharmacy network operations, including contracting, reimbursement, credentialing, network strategy, and compliance with regulations.

• 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 guidance 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.

• Work in conjunction with internal legal teams, such as regulatory, compliance, privacy, litigation, and transactional counsel.

• Build strong relationships with senior business stakeholders, acting 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 culture.

⛳️ Requirements

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

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

• A minimum of 10 years of legal experience, with a substantial background in healthcare regulatory and transactional law.

• At least 6 years of direct legal experience in PBM, supporting pharmacy benefit management operations, pharmacy networks, or related 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 pertaining 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, utilize sound judgment, and provide practical, business-focused legal advice.

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

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

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

🏝️ Benefits

• Eligibility for an annual bonus.

• Participation in a long-term incentive plan.

• 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.

• Option for remote work.

• Requirement for cable broadband or fiber optic internet service for home working.