Counsel - Pharmacy Network- Remote

Health Services Company focused on offering innovative and flexible solutions to health plans, employers, and government programs.
This position will be responsible for providing legal advice on a variety of topics related to pharmacy networks.
The qualified candidate must be able to develop a detailed and strategic understanding of the PBM business model and the various state and federal laws impacting pharmacy networks and network management.
The position requires an understanding of the health care industry as well as the interpersonal skills necessary to understand and manage complexity, influence business colleagues, foster collaboration and drive results in a fast-paced environment.
Responsibilities: Provide day-to-day legal support relating to the pharmacy network management, including pharmacy pricing, credentialing, audits and investigations.
Provide interpretative and practical advice regarding a variety of state and federal laws impacting the health services business sector, including pharmacy networks.
Collaborate with the business team and enterprise colleagues on the creation and implementation of new or enhanced products and solutions, for pharmacy network products and other cross-functional strategic initiatives and key projects impacting the Company’s pharmacy benefits management business.
Advise on operational, strategic, and legislative matters relating to pharmacy networks.
Review and draft complex provider contracts, company policies and other operational documents necessary to facilitate the growth and scaling of the company’s pharmacy network operations.
Qualifications: J.
D.
from accredited law school/Bar membership required.
3-5 years corporate legal department or law firm experience.
Broad knowledge of the health care and health services industry required.
PBM or Pharmacy needed.
Experience in contracting, drafting, and negotiating complex agreements.
Experience with provider networks is a plus.
Knowledge of HIPAA and health care fraud, waste and abuse laws.
Strong analytical, written and oral communication skills, including negotiation skills.
Interpersonal skills to develop and manage relationships with clients at all levels.
Ability to identify issues and propose actionable legal and business solutions.
Track record of project and process management.
Strong work ethic with effective time-management skills and ability to manage competing priorities.
Demonstrated good judgment and attention to detail.
Ability and desire to learn new subject areas and willingness take on new responsibilities.
Remote role.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 132,700 - 221,100 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure.
That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.
For more details on our employee benefits programs, visit Life at Cigna Group.
About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives.
At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve.
Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.
com for support.
Do not email SeeYourself@cigna.
com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible.
Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment.
These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.