JOB DESCRIPTION:
Provides legal analysis on a broad array of issues and suggests solutions affecting the pharmacy benefit management ("PBM") business. Handles complex issues and effectively communicates relevant guidance to internal partners and stakeholders and external clients. Has strong legal analytical, research, and writing skills. Able to work with impacted businesses to provide strategic advice based on review of PBM-focused laws and regulations. Able to identify the degree of legal risk associated with an issue. Strong knowledge of regulatory environment affecting the PBM business. Deals directly with internal partners and stakeholders and external clients. Manages completion of special projects. May work with outside counsel.
ROLE SUMMARY:
Counsel will be responsible for providing regulatory legal support to enterprise entities offering PBM services in the commercial business segment and the delivery of ancillary pharmacy services. The commercial segment thrives in a dynamic, fast-growing, and highly regulated industry that services customers spanning several plan-types, including employee group plans, individual and family plans, workers’ compensation, and state government plans, among others. Legal support includes reviewing, analyzing, and preparing summaries for new and existing state and federal PBM and pharmacy laws, responding to inquiries, and reviewing communications from colleagues in PBM and pharmacy operations, Product, Compliance, and within the Legal department. This position requires a general working knowledge of common pharmacy, PBM and related laws, including pricing and appeals, licensing, rebates, transparency, anti-steering, regulatory reporting, network structure and exclusivity, prohibited acts, and mail-order, among others.
ESSENTIAL FUNCTIONS:
Review new and existing laws and regulations to determine impact to pharmacy and PBM operations and prepare written summaries of such laws and regulations.
Review member-facing communications.
Provide routine guidance to business units in response to internal (business or compliance) and external (government or client) inquiries regarding relevant law.
Serve as a regulatory liaison for new law implementation working groups.
Provide support to other legal team members, such as business counsel, as needed to manage complex issues involving a regulatory component.
QUALIFICATIONS:
J.D. from ABA accredited law school/Bar membership required.
At least 5 years corporate legal department or law firm experience. Experience in PBM or pharmacy law strongly preferred.
Excellent written and oral communication skills, with the ability to distill complex regulatory issues into practical, actionable legal advice.
Demonstrated contributor with an execution mindset, project-management skills, strong analytical skills and intellectual rigor, collaboration mindset, high personal integrity, and commitment to providing the highest level of service to internal and external clients.
Ability to reassess priorities in real-time to ensure internal and external expectations are met.
Strong listening, influencing and interpersonal skills with senior attorneys and enterprise colleagues to foster collaboration and function to drive results.
Strong ability to maneuver through regulatory and business barriers to facilitate solutions.
Strategic and pragmatic legal and business advisor.
We are open to Hybrid or Remote location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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