Senior PBM Network Operations Counsel (Remote)

Cigna Group; St. Louis (MO); Remote; USD 197,000 - 328,000; Full time

Benefits offered by this job

Annual bonus opportunity

Long-term incentive plan

Comprehensive healthcare benefits

Job summary

The Cigna Group is seeking a senior leader to oversee legal support for the pharmacy network operations within its PBM organization. The role will guide strategic initiatives, manage contracting and regulatory risk, and partner with senior leadership to balance business objectives with compliance.

The successful candidate will have extensive healthcare regulatory and PBM experience, proven people leadership, and the ability to navigate complex federal and state laws to deliver practical

Qualifications

• JD from an accredited law school.
• Active license to practice law in at least one U.S. jurisdiction.
• 10+ years of legal experience, with substantial healthcare regulatory and transactional experience.
• 6+ years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions.
• 3+ years of people leadership experience managing attorneys or legal professionals.
• Experience advising PBM business leaders on operational, strategic, and regulatory matters.
• Experience drafting and negotiating complex healthcare, pharmacy, network, or supply chain agreements.
• Strong knowledge of federal and state healthcare laws and regulations, including Anti-Kickback Statute, HIPAA, and other healthcare fraud and abuse laws.
• Proven ability to think strategically, exercise sound judgment, and provide practical business-focused legal advice.
• Excellent written and verbal communication skills with the ability to influence senior stakeholders.

Responsibilities

• Lead and develop a team of attorneys supporting the pharmacy network operations business within the PBM organization.
• Serve as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives.
• Provide day-to-day legal counsel regarding pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and regulatory compliance.
• Advise on state and federal laws and regulations impacting PBMs, pharmacy networks, and the healthcare supply chain.
• Draft, review, negotiate, and provide strategic guidance regarding complex healthcare and pharmacy-related agreements.
• Partner with business leaders on strategic initiatives, business transformations, and enterprise projects impacting pharmacy network operations.
• Collaborate with internal legal teams, including regulatory, compliance, privacy, litigation, and transactional counsel.
• Develop strong relationships with senior business stakeholders and serve as a trusted advisor to leadership.
• Ensure delivery of high-quality legal support while balancing legal risk and business objectives.
• Mentor, coach, and develop attorneys while promoting a collaborative and high-performing team culture.

Skills

Leadership

Strategic thinking

Communication

Risk management

Education

Juris Doctor (JD)

Bar licensure in the United States

Job description

The Cigna Group is seeking a senior leader to oversee legal support for the pharmacy network operations within its PBM organization. The role will guide strategic initiatives, manage contracting and regulatory risk, and partner with senior leadership to balance business objectives with compliance.

The successful candidate will have extensive healthcare regulatory and PBM experience, proven people leadership, and the ability to navigate complex federal and state laws to deliver practical