Assistant General Counsel
$240,000–$259,000 year
RemoteUnited States
Job Summary
Serve as primary legal counsel for the PBM business unit, advising executive leadership on strategy, regulatory developments, and business risk. Provide sound judgment on state and federal PBM laws, HIPAA, and ERISA while drafting, negotiating, and structuring contracts. Identify legal and compliance issues, offer tailored solutions, and manage outside counsel and litigation matters. Lead departmental initiatives, oversee staff development, and ensure adherence to compliance programs and ethical conduct policies. Work remotely with occasional travel for team meetings and client engagements.
Required Qualifications
- Juris Doctor (JD) degree from an accredited law school
- Active Bar license
- Minimum of 10 years of legal experience
- Significant portion of experience spent in-house at a pharmacy benefit manager or health insurance carrier
- Direct in-house PBM or payor experience
- Strong understanding of state and federal laws governing pharmacy benefit managers
- Knowledge of ERISA
- Knowledge of HIPAA
- Knowledge of other relevant healthcare regulations
- Excellent analytical skills
- Problem-solving skills
- Negotiation skills
- Highly effective written communication abilities
- Highly effective verbal communication abilities
- Exceptional relationship building skills
- Influencing skills
- Strong contract drafting skills
- Strong contract negotiation skills
- Highly motivated with drive
- Ability to dig into the details
- Ability to provide insight
- Ability to drive decision-making
- Ability to translate business goals into agreements
- Ability to assist internal clients in navigating legal issues
- Natural leadership abilities
- Proven abilities across a broad range of internal and external constituents
- Adaptable nature
- Ability to reassess and adjust due to the evolving nature of the business
- High level of self and cross-cultural awareness
- Ability to build strong and enduring relationships
- Collaborative style
- Ability to keep ego in check
- High intelligence
- Intellectual curiosity
- Ability to probe and understand complex business and legal issues
- Ability to understand complex business and legal situations
- Ability to discern relevant versus non-relevant facts
- Unquestionable integrity
- Ethics
- Judgment
- Courage and ability to take a strong position when required for the good of VytlOne
- Ability to move fast without sacrificing rigor
- Ability to structure, draft, and negotiate contracts
- Ability to identify legal and compliance issues and business risks
- Ability to offer effective, tailored solutions
- Ability to identify opportunities to improve efficiency
- Ability to lead and manage key projects
- Ability to effectively communicate with all levels across VytlOne business entities
- Ability to collaborate cross-functionally
- Ability to build deep knowledge of the business and key stakeholders
- Ability to proactively develop and maintain legal knowledge
- Ability to remain current on regulations, cases, trends, and best practices
- Ability to manage and oversee outside counsel
- Ability to assist in managing litigation matters
- Ability to remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists
- Ability to hire, train, and develop departmental staff
- Ability to conduct performance evaluations
- Ability to provide career coaching
- Ability to promote teamwork
- Ability to maintain regular attendance in accordance with established policies
- Ability to provide sound, practical judgment in the interpretation and application of relevant laws
- Ability to advise on regulatory issues
- Ability to advise executive leadership on strategy, regulatory developments, and business risk
- Ability to identify and escalate to other leaders and the General Counsel as appropriate
- Ability to communicate in a professional and persuasive manner
- Ability to provide appropriate support and substantiation for legal advice and recommendations
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