Senior Legal Counsel - Healthcare Contracting, CVS Health

CVS Health

Location:
United States, Woonsocket

Category:
Legal

Contract Type:
Employment contract

Salary:

175100.00 - 334750.00 USD / Year

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Job Description:

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.

Job Responsibility:

Provide strategic legal advice to internal business partners and leadership
Draft and negotiate prescription benefit management (PBM) contracts with CVS Health's health plan clients
Advise internal partners on an array of matters
Work with team members and business partners to interpret and administer PBM service agreements
Provide legal and regulatory compliance interpretation and general legal advice
Identify business and legal risks and recommend solutions that balance those risks with business objectives
Develop deep understanding of business and operational goals of assigned internal clients
Collaborate effectively and work as a member of the broader team
Provide counsel directly to PBM division leadership

Requirements:

5+ years of experience in transactional and/or complex contracting in-house or with a law firm, preferably in the healthcare space
Basic knowledge of healthcare laws and regulations, including HIPAA, Medicare, Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute
Commitment to high standards in your work product
Admitted to practice law in at least one state
Ability to travel up to 10%
JD Required
Bachelors Degree Required

Nice to have:

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
Expertise in negotiating and drafting a variety of complex contracts
Strong business insight
Excellent written and oral communication skills, initiative, drive and self-confidence

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program
Equity award program

Additional Information:

Job Posted:
September 24, 2025

Expiration:
October 07, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Legal Counsel - Healthcare Contracting