Senior Legal Counsel - Retail Payer Contracting
$175.1k - $334.75kNACBA
Position Summary As a Senior Legal Counsel - Retail Payer Contracting, 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. Major Responsibilities 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. 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 Bachelor's Degree and Juris Doctorate Pay Range The typical pay range for this role is: $175,100.00 - $334,750.00. 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. Great benefits for great people This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr NACBA
- NACBA is seeking a Senior Legal Counsel - Retail Payer Contracting to provide strategic legal counsel regarding pharmacy provider agreements and health-care regulations. You will actively advise on legal matters while collaborating with internal teams to support business...SeniorFull time
$175.1k - $334.75k
The Rhode Island Bar Assn. is looking for a Senior Legal Counsel to provide strategic legal counsel regarding pharmacy agreements and healthcare regulations. You will work collaboratively to support business objectives while ensuring compliance. This role requires 8+ years...Senior$175.1k - $334.75k
The Hispanic Alliance for Career Enhancement is seeking a Senior Legal Counsel to provide strategic legal support to CVS Health's Retail Trade department. Responsibilities include drafting and negotiating agreements, advising on healthcare regulations, and ensuring compliance...SeniorFull time- NACBA in Woonsocket, Rhode Island, is seeking a Senior Legal Counsel for Pharmaceutical Contracting. This role involves providing strategic legal counsel across Retail Trade, focusing on contract negotiation and adherence to healthcare regulations. The ideal candidate will...SeniorContract work
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...Solutions External Career Site in Woonsocket, RI is seeking a Program Manager to lead complex, multi-workstream programs for onsite retail clients. The ideal candidate will have over 10 years of program management experience with a strong technical background....Senior$78.4k - $107.8k
Humana Inc is seeking a Senior Provider Contracting Professional to negotiate and execute contracts for Indiana Medicaid and Medicare. This remote role requires strong experience in network management and the ability to analyze and communicate contract terms. The ideal...SeniorRemote jobContract work- Brown University is seeking a Senior Research Administrator to oversee the administration of research grants and contracts. This role involves ensuring compliance with regulations, coordinating proposal preparations, and providing training to stakeholders. The ideal candidate...SeniorRemote job
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9005 CVS Pharmacy, Inc. seeks a Senior Writer to join Heart Haus, its internal agency. The ideal candidate will be versatile in creating compelling marketing content across various mediums, engaging in strategic projects to support CVS Pharmacy and Health Services. This...SeniorRemote jobFull time- CVS Health in Rhode Island seeks a Manager for Retail Planning & Analytics to independently lead high-impact financial analyses and vendor funding operations. The role involves forecasting, financial planning, and guiding Category Managers with key insights for strategic...Senior
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Next 150 Construction Services, LLC, located in Providence, RI, is seeking a Purchasing Agent II to oversee the bid and contract processes across various projects. This role emphasizes risk management and supports trade contractors while maintaining compliance and exploring...SeniorContract workFor contractors- ...the enterprise. What You'll Do The Senior Director, Intellectual Property Counsel is a senior leadership position... ...visible role serves as the primary IP legal advisor to executive leadership,... ...analytics, and AI-enhanced contract review and licensing intelligence....SeniorPermanent employmentContract workWork at officeFlexible hours
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A state government legal office in Rhode Island is hiring a Senior Litigation Counsel to oversee staff and litigate cases in state and federal courts. The ideal candidate has over 10 years of litigation experience and must be a member of the bar. Responsibilities include...SeniorWork at office
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