4 дня назад
Pharmacy Team Attorney
110 000 - 135 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Pharmacy Team Attorney (Healthcare/Pharmacy Benefits): Providing legal counsel for Coordination of Benefits pharmacy operations with an accent on regulatory compliance, risk mitigation, and disputed recovery matters. Focus on interpreting CMS and state regulations, negotiating contested pharmacy recoveries, and managing litigation and disputes involving pharmacy benefits.
Location: La Grange, Kentucky, United States; remote and hybrid work options are available.
Salary: $110,000–$135,000 USD base salary per year.
Company
is a healthcare intelligence company providing an AI-powered platform and expertise for health plan clients across the payment continuum.
What you will do
- Provide legal counsel and timely review for Coordination of Benefits pharmacy operations.
- Identify legal risks affecting pharmacy operations and develop mitigation strategies.
- Monitor and interpret federal and state laws, CMS guidance, court decisions, and regulatory requirements.
- Advise business leaders, Client Success, compliance, operations, and pharmacy benefit management teams on legal matters and client inquiries.
- Negotiate and resolve contested pharmacy recoveries with PBM representatives and employer group benefit managers.
- Manage pharmacy-related litigation and disputes, coordinate with outside counsel, and provide compliance training.
Requirements
- Juris Doctor degree and an active Kentucky law license in good standing are required.
- 3–5 years of legal experience, preferably in healthcare, pharmacy benefits, or insurance law.
- Knowledge of Coordination of Benefits processes, pharmacy benefit management, HIPAA, ERISA, and CMS guidelines.
- Ability to handle disputed settlement negotiations and participate in litigation.
- Strong analytical, problem-solving, written, and verbal communication skills.
- Ability to manage multiple priorities, collaborate across teams, and work with Microsoft Office.
Culture & Benefits
- PTO, paid holidays, and volunteer days.
- Eligibility for health, vision, and dental coverage, a 401(k) plan with company match, and flexible spending accounts.
- Tuition reimbursement and company-paid life insurance, short-term disability, and parental leave.
- Values include asking why, thinking big, humility, customer impact, and delivering results.
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