Associate Counsel, PBM & Health Plan Compliance

Blue Cross NC

North Carolina

Hybrid

USD 131,000 - 209,000

Full time

14 days+
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
401k match
Parental leave
Tuition reimbursement

Job summary

Blue Cross NC seeks an Associate Counsel to support its PBM services, including work for the North Carolina State Health Plan. The role requires navigating health care regulations, procurement, and data/privacy considerations across enterprise PBM operations.

You will partner with pharmacy, compliance, operations, and executive teams to ensure contract compliance and manage legal risk while supporting client relationships and state health plan initiatives.

Qualifications

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

Responsibilities

  • Develop and provide legally supportable guidance on PBM contracts and regulatory requirements.
  • Advise on PBM-related interpretations including pharmacy benefit administration and vendor performance.
  • Support administration of public records requests, audits, and regulatory inquiries.
  • Assist with privacy, data governance, and confidentiality considerations for PBM services.
  • Provide training to business partners on legal, regulatory, and contractual topics.

Skills

Business Contracts
Contract Evaluations
Contract Management
Contract Negotiations
Regulatory Compliance
Legal Documents Preparation
Regulatory Filings
Statutory Interpretation

Education

Juris Doctor (JD) or equivalent
Licensed to practice law

Job description

Blue Cross NC seeks an Associate Counsel to support its PBM services, including work for the North Carolina State Health Plan. The role requires navigating health care regulations, procurement, and data/privacy considerations across enterprise PBM operations.

You will partner with pharmacy, compliance, operations, and executive teams to ensure contract compliance and manage legal risk while supporting client relationships and state health plan initiatives.

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