Senior Legal Counsel, Pharmacy Benefit Management

CVS Health; Rhode Island; Hybrid; USD 175,000 - 335,000; Full time

Benefits offered by this job

Bonus eligibility

Equity awards

Medical insurance

Job summary

CVS Health is seeking a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) to provide guidance on federal and state healthcare regulations. You will serve as a subject-matter expert, interpret new requirements, and advise executive leadership on action plans and regulatory strategy.

The role involves researching state laws, reviewing market conduct actions, and collaborating with Compliance, Regulatory Affairs, and operations to implement changes. A JD and 8+ years of experience are required.

Qualifications

• 8+ years of legal attorney experience in a law firm and/or in-house setting.
• Mastery of problem solving and decision making skills.
• Mastery of collaboration and teamwork.
• Mastery of growth mindset skills.
• Mastery of execution and delivery skills.
• Mastery of business intelligence.

Responsibilities

• Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
• Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
• Researches and analyzes state laws and regulations.
• Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
• Identifies and reviews legal risk for business areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
• Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
• Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
• Assists with onboarding junior‑level staff to promote the development of departmental capabilities.

Skills

Legal experience

Problem solving

Collaboration

Growth mindset

Execution & delivery

Business intelligence

Education

JD

Bachelor's degree

Job description

CVS Health is seeking a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) to provide guidance on federal and state healthcare regulations. You will serve as a subject-matter expert, interpret new requirements, and advise executive leadership on action plans and regulatory strategy.

The role involves researching state laws, reviewing market conduct actions, and collaborating with Compliance, Regulatory Affairs, and operations to implement changes. A JD and 8+ years of experience are required.