Senior Legal Counsel - Healthcare Contracting at CVS Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jan, 26

Salary

334750.0

Posted On

26 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Contracting, Legal Advice, Contract Negotiation, Regulatory Compliance, Risk Management, Communication Skills, Business Insight, Team Collaboration, Healthcare Laws, HIPAA, Medicare, Medicaid, False Claims Act, Federal Anti-Kickback Statute, Initiative, Self-Confidence

Industry

Hospitals and Health Care

Description

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. Job Description Position Summary As a Senior Legal Counsel – Healthcare Contracting you will provide strategic legal advice to internal business partners and leadership. You will be responsible for drafting and negotiating prescription benefit management (PBM) contracts with CVS Health’s health plan client. In this role you will actively advise internal partners on an array of matters. You will work in conjunction with other team members and business partners to interpret and administer PBM service agreements, provide legal and regulatory compliance interpretation, and general legal advice. Additionally, you will identify business and legal risks and recommend solutions that balance those risks with business objectives. Major Responsibilities: You will develop a deep understanding of the business and operational goals of your assigned internal clients, and work diligently to develop and maintain positive relationships with clients at all levels of the organization. You will collaborate effectively and work as a member of the broader team, providing practical and sound advice to internal clients on legal issues related to business objectives, and take an active role in driving projects to a successful conclusion. You will provide counsel directly to our PBM division leadership. Required Qualifications 5+ years of experience in transactional and/or complex contracting in-house or with a law firm, preferably in the healthcare space You possess a basic knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute You have a commitment to high standards in your work product Admitted to practice law in at least one state Ability to travel up to 10% Preferred Qualifications You possess a strong working knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute Experiences with PBMs You have expertise in negotiating and drafting a variety of complex contracts You possess strong business insight. You possess excellent written and oral communication skills, initiative, drive and self-confidence. Education JD Required Bachelors Degree Required Pay Range The typical pay range for this role is: $175,100.00 - $334,750.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 11/07/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

Provide strategic legal advice to internal business partners and leadership while drafting and negotiating PBM contracts. Actively advise on legal and regulatory compliance and identify business and legal risks, recommending solutions that align with business objectives.