Associate General Counsel / Senior Managing Counsel, Pharmacy Network Operations (PBM)

Location: Remote or Hybrid, associated with Bloomfield, Connecticut, United States. Remote work requires cable broadband or fiber internet with at least 10 Mbps download and 5 Mbps upload.

Annual salary: $197,000–$328,300 USD, depending on experience and geographic location. Eligible for an annual bonus and long-term incentive plan.

Company

Healthcare services organization focused on improving the health and vitality of clients, customers, and patients through healthcare and health services divisions.

What you will do

• Lead, mentor, and develop a team of attorneys supporting pharmacy network operations within a PBM organization.
• Advise pharmacy network operations leadership on strategy, initiatives, business objectives, operational matters, and regulatory compliance.
• Provide legal guidance on contracting, reimbursement, credentialing, network strategy, and pharmacy operations.
• Draft, review, negotiate, and provide strategic guidance on complex healthcare, pharmacy, network, and supply chain agreements.
• Partner with business leaders on strategic initiatives, business transformations, and enterprise projects.
• Collaborate with regulatory, compliance, privacy, litigation, and transactional legal teams while balancing legal risk and business objectives.

Requirements

• Juris Doctor degree from an accredited law school and an active license to practice law in at least one U.S. jurisdiction.
• At least 10 years of legal experience, including substantial healthcare regulatory and transactional experience.
• At least 6 years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions.
• At least 3 years of people leadership experience managing attorneys or legal professionals.
• Experience advising PBM business leaders on operational, strategic, and regulatory matters.
• Experience drafting and negotiating complex healthcare, pharmacy, network, or supply chain agreements.
• Strong knowledge of federal and state healthcare laws and regulations, including the Anti-Kickback Statute, HIPAA, and other healthcare fraud and abuse laws.
• Experience advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations.
• Prior in-house healthcare legal experience supporting a PBM or health plan.
• Strategic thinking, sound judgment, practical business-focused legal advice, and strong written and verbal communication skills with the ability to influence senior stakeholders.

Culture & Benefits

• Remote or hybrid work arrangement with specified home internet requirements.
• Medical, vision, dental, well-being, and behavioral health benefits available from the first day of employment.
• 401(k), company-paid life insurance, tuition reimbursement, at least 18 paid days off per year, paid holidays, and leaves of absence.
• Collaborative, high-performing legal team environment with opportunities to mentor and develop attorneys.