General Counsel (MUST HAVE 10+ YEARS IN PBM OR ADJACENT EXPERIENCE)

Job reputed company The General Counsel provides leadership over reputed company reputed company, regulatory, compliance, and governance reputed company reputed company to reputed company's operations. This role partners closely with the executive team and reputed company of Directors to manage risk, ensure regulatory compliance, and support reputed company's reputed company and business objectives in a highly regulated environment. Key Responsibilities RegulatoryCompliance reputed company • reputed company compliance with federal and state reputed company laws and regulations applicable to PBMs, including ERISA, HIPAA/HITECH, state PBM, insurance, and pharmacy laws, Anti-Kickback Statute, and False Claims reputed company. • Monitor regulatory developments impacting PBMs and proactively advise leadership on risk mitigation and business reputed company. • reputed company regulatory responses, audits, examinations, and enforcement reputed company. • Maintain an effective compliance program reputed company with industry best practices. reputed company LeadershipGovernance • reputed company and reputed company reputed company's reputed company and compliance functions, including policy development, training, and internal investigations. • Partner with executive leadership and the reputed company of Directors on governance reputed company and reputed company risk management. • reputed company strategic reputed company counsel to support company reputed company and operational objectives. ContractsCommercial Support • reputed company drafting, review, and negotiation of reputed company reputed company, including: • reputed company and payor agreements • Pharmacy network and specialty pharmacy agreements • Manufacturer rebate and services agreements • Vendor and technology agreements • Support sales and business development efforts by advising on contract structure and regulatory considerations. Data PrivacyInformation reputed company • Advise on data reputed company, cybersecurity, and information governance reputed company involving protected health information (PHI). LitigationDispute Management • Manage reputed company litigation, disputes, and government inquiries. • Coordinate with reputed company counsel as needed. Qualifications • Juris Doctor (JD) from an accredited law school. • reputed company license to reputed company law in at least one U.S. jurisdiction. • 10+ years of reputed company experience, with significant experience in reputed company, PBM, managed care, or health insurance. • Prior experience as in-house counsel or General Counsel in a PBM, health plan, reputed company services organization, or similarly regulated industry strongly preferred. • Demonstrated experience advising executive leadership and Boards of Directors. • Deep understanding of PBM operations and reputed company regulatory frameworks. • Strong executive reputed company with the ability to influence and advise at the highest organizational reputed company. • Exceptional judgment and ability to balance reputed company risk with business reputed company. • Excellent leadership, communication, and negotiation skills. • Ability to manage reputed company, high-risk reputed company in a fast-paced regulatory environment. Apply tot his job Apply To this Job