Senior Legal Counsel - Pharmacy Benefit Manager (PBM)

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.

• 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.
• Supports legal review, analysis, and outcomes of state mental health parity exams.
• Identifies and reviews legal risk for buisness 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.

• 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 (agility and developing yourself and others) skills
• Mastery of execution and delivery (planning, delivering, and supporting) skills
• Mastery of business intelligence

• In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
• In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
• Experience working with state and federal government agencies, healthcare laws and regulations.
• Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.