Counsel- PBM
Counsel- PBM
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
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 fastpaced environment.
Responsibilities:
Draft review and negotiate pharmacy provider agreements.
Provide daytoday legal support relating to the pharmacy network management.
Research and provide interpretative and practical advice regarding a variety of state and federal laws impacting pharmacy networks.
Effectively collaborate with internal partners to advise and respond to a variety of legal issues impacting the pharmacy network.
Develop strong business relationships with stakeholders involved with the Companys pharmacy network operations.
Qualifications:
J.D. from accredited law school/Bar membership required
At least 5 years corporate legal department or law firm experience
Broad knowledge of the health care and health services industry needed; knowledge of HIPAA and health care fraud waste and abuse laws needed.
Experience in regulatory is preferred
Experience with provider networks is a plus
Strong analytical written and oral communication skills including negotiation skills
Demonstrated strong interpersonal skills to develop and manage relationships and collaborate effectively
Ability to identify issues and propose actionable legal and business solutions
Strong work ethic with effective timemanagement skills and ability to manage competing priorities
Demonstrated good judgment and attention to detail
Ability and desire to learn new subject areas and willingness to take on new responsibilities
Open to remote for the right candidate or hybrid.
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 ofUSD / 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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental and wellbeing 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 were 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: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobaccofree 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.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.
Employment Type
Full-Time
