Sr Legal Counsel – Healthcare

CVS Health

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

As a Senior Legal Counsel, you will provide strategic legal counsel to the most senior internal business partners with respect to pharmacy provider agreements, pharmacy services agreements, regulatory compliance, and health-care related regulations and laws. You will proactively advise business partners on a wide variety of matters and work collaboratively with other attorneys and partners on matters related to PBM and health plan agreements and legal and regulatory compliance.

You will identify business and legal risks and provide solutions which balance legal issues and business objectives. You will be expected to develop a keen understanding of the retail pharmacy business and operational goals of assigned internal clients and work diligently to develop and maintain positive relationships with clients at all levels of the organization.

You will recommend practical and sound advice to internal clients on legal issues related to business objectives and take an active role in driving projects to final result.

Job Description:

Interpret and explain contract terms and conditions and regulations that apply to PBM contracts for internal clients. Analyze and determine business, economic, and operational impact of contract terms and conditions and regulations on CVS Pharmacy. Lead and provide continued support for compliance with those terms and requirements.

Actively participate in the PBM contracting process, including drafting and negotiating a wide variety of agreements.

Provide legal expertise on various initiatives, projects and/or specialized legal matters affecting Payer Relations and perform special research projects.

Work closely and collaboratively with CVS Health legal, compliance and privacy colleagues, including in the regulatory and litigation groups, to support the CVS Pharmacy Payer Relations activities and various retail pharmacy services and programs.

Provide legal and contracting support for retail pharmacy services and programs.

Interpret and explain contract terms and conditions and regulations that apply to contracts for various retail pharmacy services and programs for internal clients. Lead and provide continued support for compliance with contract terms and requirements.

Required Qualifications

8 years of legal experience with a law firm or healthcare company

Admitted to practice law in at least one state and member in good standing of applicable state bar association(s)

Preferred Qualifications

Experience with pharmacy provider arrangements

Strong knowledge of healthcare laws and regulations

Experience in aspects of healthcare related to retail pharmacy services.

Experience drafting and negotiating complex services agreements.

Ability to collaborate effectively and work as a team player.

Excellent written and oral communication skills, initiative, and drive.

Education

Bachelors Degree and Juris Doctorate

Pay Range

The typical pay range for this role is:

$175,100.00 – $334,800.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.