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Cigna Group

Sells health coverage and pharmacy benefits

Associate General Counsel / Senior Managing Counsel - Pharmacy Network Operations

Legal Counsel & Legal SupportConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • Juris Doctor (JD) from an accredited law school.
  • Active license to practice law in at least one U.S. jurisdiction.
  • At least 10 years of legal experience, including substantial healthcare regulatory and transactional experience.
  • At least 6 years of direct PBM legal experience supporting pharmacy benefit management operations, pharmacy networks, or related PBM functions.
  • At least 3 years of people-leadership experience managing attorneys or legal professionals.
  • Demonstrated experience advising PBM business leaders on operational, strategic, and regulatory matters.
  • Experience drafting and negotiating complex healthcare, pharmacy, network, or supply-chain agreements.
  • Strong knowledge of federal and state healthcare laws and regulations, including the Anti-Kickback Statute, HIPAA, and other healthcare fraud and abuse laws.
  • Ability to think strategically, exercise sound judgment, and provide practical, business-focused legal advice.
  • Written and verbal communication skills to influence senior stakeholders.
  • Experience advising on pharmacy contracting, reimbursement, network management, credentialing, or pharmacy operations.
  • Prior in-house healthcare legal experience supporting a PBM or health plan.
  • For occasional or permanent work from home, internet service must be cable broadband or fiber optic with at least 10 Mbps download and 5 Mbps upload speeds.

Responsibilities

  • Lead and develop a team of attorneys supporting the pharmacy network operations business within the PBM organization.
  • Serve as lead legal advisor for pharmacy network operations strategy, initiatives, and business objectives.
  • Provide day-to-day legal counsel regarding pharmacy network operations, contracting, reimbursement, credentialing, network strategy, and regulatory compliance.
  • Advise on state and federal laws and regulations impacting PBMs, pharmacy networks, and the healthcare supply chain.
  • Draft, review, and negotiate complex healthcare and pharmacy-related agreements, and provide strategic guidance on them.
  • Partner with business leaders on strategic initiatives, business transformations, and enterprise projects impacting pharmacy network operations.
  • Collaborate with internal legal teams, including regulatory, compliance, privacy, litigation, and transactional counsel.
  • Develop relationships with senior business stakeholders and serve as a trusted advisor to leadership.
  • Ensure high-quality legal support while balancing legal risk and business objectives.
  • Mentor, coach, and develop attorneys while promoting a collaborative and high-performing team culture.

About the Company

Cigna Group

Sells health coverage and pharmacy benefits

The Cigna Group sells health coverage and pharmacy services to employers, health plans and individuals, and most of its business runs through Evernorth, its health services arm. Evernorth owns Express Scripts, one of the largest pharmacy benefit managers in the U.S., which negotiates drug prices and processes prescriptions for plan sponsors, plus the specialty pharmacy Accredo. Its Cigna Healthcare unit sells medical, dental and behavioral coverage, mostly to employers that fund their own plans, and earns premiums and administrative fees, while Evernorth earns service fees and drug margins. The company was formed in 1982 through the merger of Connecticut General and INA and is based in Bloomfield, Connecticut.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Bloomfield, CT
Founded
1982

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