Senior Legal Counsel - Retail Payer Contracting
Confirmed live in the last 24 hours
CVS Health
Compensation
$175,100 - $334,750/year
Job Description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
As a Senior Legal Counsel - Retail Payer Contracting, you will provide strategic legal counsel to the most senior internal business partners with respect to pharmacy provider agreements, pharmacy services agreements, regulatory compliance, and health-care related regulations and laws. You will proactively advise business partners on a wide variety of matters and work collaboratively with other attorneys and partners on matters related to PBM and health plan agreements and legal and regulatory compliance.
You will identify business and legal risks and provide solutions which balance legal issues and business objectives. You will be expected to develop a keen understanding of the retail pharmacy business and operational goals of assigned internal clients and work diligently to develop and maintain positive relationships with clients at all levels of the organization.
You will recommend practical and sound advice to internal clients on legal issues related to business objectives and take an active role in driving projects to final result.
Major Responsibilities:
- Interpret and explain contract terms and conditions and regulations that apply to PBM contracts for internal clients. Analyze and determine business, economic, and operational impact of contract terms and conditions and regulations on CVS Pharmacy. Lead and provide continued support for compliance with those terms and requirements.
- Actively participate in the PBM contracting process, including drafting and negotiating a wide variety of agreements.
- Provide legal expertise on various initiatives, projects and/or specialized legal matters affecting Payer Relations and perform special research projects.
- Work closely and collaboratively with CVS Health legal, compliance and privacy colleagues, including in the regulatory and litigation groups, to support the CVS Pharmacy Payer Relations activities and various retail pharmacy services and programs.
Required Qualifications
- 8+ years of legal experience with a law firm or healthcare company
- Admitted to practice law in at least one state and member in good standing of applicable state bar association(s)
Preferred Qualifications
- Experience with pharmacy provider arrangements
- Strong knowledge of healthcare laws and regulations
- Experience in aspects of healthcare related to retail pharmacy services.
- Experience drafting and negotiating complex services agreements.
- Ability to collaborate effectively and work as a team player.
- Excellent written and oral communication skills, initiative, and drive.
Education
Bachelor's Degree and Juris Doctorate
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: 04/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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