Description:
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing togetherYou'll be the primary attorney supporting the Medicare Part D business and handle a wide range of issues affecting the business and its operations. You'll also be part of a small team of senior attorneys providing guidance to the Medicare & Retirement business, the largest insurance segment within UnitedHealth Group.
Primary Responsibilities:
- Advise UnitedHealthcare's Medicare Part D business
- Counsel on Part D product, operations, clinical (Pharmaceutical & Therapeutic Committee, formulary development), marketing, and regulatory requirements
- Provide strategic counsel to the business on the Pharmacy Benefit Management (PBM) Agreements, benefit implementation and management, and compliance oversight and monitoring
- Provide counsel and subject matter expertise on the CMS rules and regulations, the False Claims Act, and the Federal Anti-kickback Statute
- Support key areas for regulatory advocacy
- Collaborate with colleagues across the legal and compliance departments
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
- Current, active licensure within state of residence
- 8+ years of experience as a licensed attorney
- Familiarity with the Medicare Part D Program
- Familiarity with the Federal False Claims Act and Federal Anti-Kickback Statute
- Proven excellent written and verbal communication skills
- Proven solid work ethic
- Comfortable taking ownership and accountability for projects
Preferred Qualifications:
- 5+ years of relevant legal experience in health care
- Medicare Part D, insurance, regulatory, or other healthcare experience
- Experience providing strategic legal advice directly to business executives
- Experience with regulatory agencies
- Demonstrated understanding of business problems related to assigned legal projects and ability to evaluate and determine appropriate course of legal action to meet business unit needs
- Proven success in collaborating across a matrixed legal department
- Proven well-developed presentation skills
- Proven ability to drive results
- Proven ability to work effectively in an ambiguous environment
- Proven ability to work in a fast-paced, results-oriented workplace
- Proven ability to prioritize and work effectively under time constraints
- Proven ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts
