Description:

A Health Services and Innovation Company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

A Health Services and Innovation Company is an innovative pharmacy benefit management organization managing the prescription drug benefits of commercial, Medicare and other governmental health plans, as well as those of employers and unions. Services offered by the company include pharmacy network contracting, rebate contracting and administration, mail order and specialty pharmacy facilities, clinical and formulary management, and prescription drug claims processing. A Health Services and Innovation Company is part of A Health Services and Innovation Company, a leading information and technology-enabled health services business dedicated to making the health system work better for everyone.

As a member of the A Health Services and Innovation Company legal team, close collaboration with colleagues is expected, as well as a willingness to adapt to the changing legal support requirements of our growing business.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Provide legal support for A Health Services and Innovation Company management of pharmacy networks, in areas such as contracting/negotiation, contractual disputes/litigation, pharmacy audits, and network programs
Draft, review, and negotiate pharmacy network contracts with retail, specialty, and mail-order pharmacies, ensuring alignment with legal and regulatory standards
Provide legal counsel on contract terms, reimbursement structures, and compliance with federal and state healthcare laws
Conduct legal research to stay current on pharmacy-related regulations and industry trends affecting network contracting
Develop and update contracting policies and templates to reflect changes in law, business strategy, and operational needs
Establish and maintain solid relationships with internal business leaders and departments, becoming a valued partner through legal counsel

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Juris Doctorate degree and license to practice in any U.S. jurisdiction
5+ years of legal experience in health care or managed care litigation or healthcare regulatory practices or pharmacy contracting
Proven solid legal and strategic analytical skills as applied to complex and dynamic business environment
Demonstrated solid verbal and written communication, including contracting drafting and negotiation
Proven ability to build and maintain rapport with superiors, peers, and external company contacts, with demonstrated ability to lead and contribute to team effort
Proven ability to evaluate and determine appropriate legal course of action to meet business unit needs
Proven well-developed written and verbal communications skills
Proven excellent presentation skills

Preferred Qualifications:

Relevant legal and regulatory experience in health law (particularly with PBMs, pharmacies, or related areas), ERISA, commercial insurance, Medicaid, Medicare, litigation, provider or health care legal support
Solid understanding of health insurance industry
Demonstrated understanding of business problems and ability to evaluate and determine appropriate legal course of action to meet business unit needs
Proven ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts
Proven success in collaborating across a large, matrixed business and legal environment