Deputy General Counsel, Enterprise and Commercial - FuzeRx

Job Summary

At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.

Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.

Job Description
The Deputy General Counsel, Enterprise and Commercial serves as the primary legal leader and strategic advisor supporting Fuze Health’s pharmacy business, FuzeRx. Operating at the center of payor strategy, specialty manufacturer relationships, enterprise commercial transactions, and regulatory risk mitigation, this role is deeply embedded in the company’s revenue generation and growth strategy.

Unlike traditional contract review roles, this Deputy General Counsel will act as a lead negotiator and strategic architect for enterprise deals. The work is highly commercially sensitive, directly impacting reimbursement economics and revenue protection. The ideal candidate brings a sophisticated understanding of pharmacy operations, unparalleled business judgment, and the leadership capacity to manage interdependent agreements across payors, manufacturers, providers, and enterprise partners.

Job Description

Key Responsibilities

Strategic Enterprise & Commercial Transactions

• Deal Architecture: Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.

• Growth Enablement: Evaluate whether payor positioning supports proposed deal economics, assess margin risk under network limitations, and influence go/no-go decisions for enterprise initiatives based on reimbursement risk modeling.

Strategy & Revenue Protection

• Contract Strategy: Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value-based constructs.

• Dispute Leadership: Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery.

• Strategic Alignment: Ensure alignment between state reimbursement protection statutes, specialty carve-outs, and vertical-specific addenda.

Specialty Pharmacy & Fertility Vertical Governance

• Fertility Ecosystem: Provide centralized legal oversight across all contractual relationships in the high-revenue, operationally complex fertility vertical.

• Benefit Managers & Clinics: Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance (e.g., managing patient steerage risk).

• Manufacturer Relations: Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.

Regulatory Compliance & Risk Mitigation

• Regulatory Gatekeeping: Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks.

• Fraud & Abuse: Routinely evaluate and mitigate exposure related to the federal Anti-Kickback Statute (AKS), state analogs, patient steerage risk, and referral-based compensation.

Leadership & Operational Oversight

• Team Management: Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high-performance, collaborative legal culture.

• Vendor & Logistics Risk: Oversee critical operational agreements, including courier/cold-chain logistics, technology vendors, and performance-based services, particularly where inventory loss or temperature excursions implicate reimbursement exposure.

Required Qualifications & Experience

• Education & Licensure: J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction.

• Experience: 12–14 years of legal experience in healthcare (law firm and in-house experience highly preferred).

• Pharmacy Experience: Deep subject matter expertise in pharmacy operations and regulatory frameworks.

• Commercial Acumen: Demonstrated history of operating as a lead negotiator for complex, revenue-impacting enterprise deals within the healthcare ecosystem.

• Subject Matter Knowledge: Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud-and-abuse laws (AKS, FCA).

• Leadership: Proven management skills with experience leading attorneys, collaborating across cross-functional executive teams, and driving enterprise-level legal strategy.

• Working Style: Exceptional communication and judgment, with the ability to provide rapid-turn analysis on reimbursement-dependent deals and assess strategic risk beyond black-letter contract issues.

Additional Physical Job Requirements

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.

Salary and Benefits

Salary Range : $250,000 - $275,000

Commission Eligible: No

Travel : Yes - Required up to 10% of the time

Additional Information

FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits:

Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

More Benefits Information Here: Fuze Health Benefits Site

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Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at View email address on jobs.institutedata.com.

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.

Fuze Health recruiters and hiring managers may use automated decision-making tools to assist with identifying candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. If you have any questions or would like to request an alternative process, please contact us at View email address on jobs.institutedata.com. To learn about Fuze Health’s privacy practices including compliance with applicable privacy laws, please click here .