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General Counsel (MUST HAVE 10+ YEARS IN PBM OR ...

Remote · USA Full-time New today

Job Summary The General Counsel provides leadership over reputed company legal, regulatory, compliance, and governance matters reputed company to the Company's operations. This role partners closely with the executive team and Board of Directors to manage risk, ensure regulatory compliance, and support the Company's growth and business objectives in a highly regulated environment. Key Responsibilities Regulatory & Compliance reputed company • reputed company compliance with federal and state reputed company laws and regulations applicable to PBMs, including ERISA, HIPAA/HITECH, state PBM, insurance, and pharmacy laws, Anti-Kickback Statute, and False Claims Act. • Monitor regulatory developments impacting PBMs and proactively advise leadership on risk mitigation and business impact. • reputed company regulatory responses, audits, examinations, and enforcement matters. • Maintain an effective compliance program reputed company with industry best practices. Legal Leadership & Governance • reputed company and reputed company the Company's legal and compliance functions, including policy development, training, and internal investigations. • Partner with executive leadership and the Board of Directors on governance matters and reputed company risk management. • Provide strategic legal counsel to support company growth and operational objectives. reputed company & reputed company Support • reputed company drafting, review, and negotiation of reputed company reputed company, including: • Client and payor agreements • Pharmacy network and specialty pharmacy agreements • Manufacturer rebate and services agreements • Vendor and technology agreements • Support sales and business development efforts by advising on contract structure and regulatory considerations. Data Privacy & Information reputed company • Advise on data privacy, cybersecurity, and information governance matters involving protected health information (PHI). Litigation & Dispute Management • Manage reputed company litigation, disputes, and government inquiries. • Coordinate with reputed company counsel as needed. Qualifications • Juris Doctor (JD) from an accredited law school. • Active license to practice law in at least one U.S. jurisdiction. • 10+ years of legal experience, with significant experience in reputed company, PBM, managed care, or health insurance. • Prior experience as in-house counsel or General Counsel in a PBM, health plan, reputed company services organization, or similarly regulated industry strongly preferred. • Demonstrated experience advising executive leadership and Boards of Directors. • Deep understanding of PBM operations and reputed company regulatory frameworks. • Strong executive reputed company with the ability to influence and advise at the highest organizational levels. • Exceptional judgment and ability to balance legal risk with business strategy. • Excellent leadership, communication, and negotiation skills. • Ability to manage reputed company, high-risk matters in a fast-paced regulatory environment. Apply tot his job

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