Associate Counsel — PBM & Health Plan Compliance

Blue Cross and Blue Shield of North Carolina; Michigan; Hybrid; USD 131,000 - 209,000; Full time

Job summary

Blue Cross NC is seeking an Associate Counsel to support PBM services, including the North Carolina State Health Plan. The role intersects health care, pharmacy benefit administration, government programs, and public procurement.

Responsibilities include contract review, compliance guidance, privacy and data governance, audits, and training business partners on legal topics related to PBM operations.

Qualifications

• Graduate of an accredited law school required.
• 3+ years of experience in related field.
• Licensed to practice law.

Responsibilities

• Develop and maintain knowledge of PBM contracts and related legal requirements.
• Review PBM materials and provide legally sound guidance to business partners.
• Advise on interpretation and application of PBM contractual requirements.
• Serve as legal counsel supporting PBM business and State Health Plan contracts.
• Advise on federal and state legal and regulatory requirements impacting PBM services.

Skills

Legal research

Contract interpretation

Regulatory compliance

Education

Juris Doctor (JD)

Job description

Blue Cross NC is seeking an Associate Counsel to support PBM services, including the North Carolina State Health Plan. The role intersects health care, pharmacy benefit administration, government programs, and public procurement.

Responsibilities include contract review, compliance guidance, privacy and data governance, audits, and training business partners on legal topics related to PBM operations.