Corporate Transactional Attorney
Avant Tech
Corporate Counsel, PBM and Payer Contracts
PANTHERx Rare Pharmacy
full-time
Posted on:
Origin: • 🇺🇸 United States • Pennsylvania
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Provides legal counsel on federal and state healthcare regulations impacting PBM operations, payer relationships, and government program participation (Medicare Part D, Medicaid Managed Care, etc.).
- Advises on CMS guidelines, Medicaid regulations, and other applicable laws and advisory opinions.
- Drafts, reviews, and negotiates contracts with PBMs, health plans, payers, and government entities.
- Ensures contracts align with legal and regulatory requirements and support business objectives; supports vendor and service agreements as needed.
- Collaborates with compliance and quality teams to ensure adherence to healthcare laws and accreditation standards.
- Provides legal support for licensing and regulatory filings across jurisdictions.
- Advises on employment-related legal matters, including labor law compliance, employee relations, and internal investigations.
- Serves as a legal advisor to business leaders, offering strategic guidance on initiatives and risk mitigation; supports general operational matters.
- Manages outside counsel for litigation, regulatory investigations, and third-party subpoenas; coordinates document production and discovery responses.
- Partners with internal stakeholders across departments to support strategic initiatives and ensure legal alignment.
- Performs additional responsibilities as assigned by the Chief Legal Officer.
Requirements
- Juris Doctor (JD) from an accredited law school.
- Minimum four (4) years of legal experience, preferably in PBM, payer contracting, or government healthcare programs.
- Licensed attorney in good standing in at least one U.S. jurisdiction.
- Strong knowledge of healthcare regulations, including CMS, Medicare/Medicaid, and payer contracting frameworks.
- Proven experience negotiating contracts with PBMs, health plans, and government entities.
- Excellent analytical, communication, and organizational skills.
- Ability to manage multiple priorities independently and collaboratively.
- Preferred: Experience with employment law, compliance, and litigation management.
