Legal Counsel

CVS Health • Woonsocket, RI

6d

About The Position

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: Opportunity to join a CVS Health, a Fortune 4 company and our Legal Team at CVS Health! As Legal Counsel you will provide strategic legal and regulatory counsel to internal business partners with respect to market conduct exams and healthcare 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 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 business and operational goals of assigned internal clients and work diligently to develop and maintain engaged and supportive relationships with clients at all levels of the organization. You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with the development of audits and examinations of the PBM; and oversee legal matters related to examinations and support resolution of any enforcement matters. You will independently coordinate and oversee multiple legal issues and risk assessments in a fast paced environment with high visibility and significant importance to the organization. You will work in a highly matrixed organization and be able to support legal issues cross functionally that may impact a variety of different areas across the Company. As part of the Legal team, you will gain experience working with a dynamic in-house legal department and play a key role in supporting the business. You will further develop your skills in a regulated environment.

Requirements

• 10 years legal attorney experience in a law firm and/or in-house setting that includes:
• Experience handling healthcare regulatory matters
• Experience interacting with government regulators or agencies and/or third-party auditors or examiners with respect to healthcare matters
• Admitted to practice law in at least one state and in good standing
• Juris Doctor (JD) is required

Nice To Haves

• Strong knowledge of healthcare laws and regulations
• Experience in a PBM or health plan/insurer environment
• Experience in litigation or dispute resolution
• Experience managing and/or collaborating with outside counsel

Responsibilities

• Serve as legal counsel for CVS Health’s PBM, Caremark.
• Provide primary legal support for market conduct exams and audits for Caremark
• Advise clients with respect to the application of federal and state laws and regulations to the Company’s business activities
• Research and maintain current knowledge of applicable federal, state, local and insurance laws related to pharmacy benefit managers and market conduct standards
• Work collaboratively with Compliance, Government Affairs, Provider Network and business operations teams with respect to advising and supporting market conduct exams and audits
• Stay abreast of proposed and newly enacted state laws impacting Caremark and its business operations;
• Consult with other subject matter legal/compliance experts, including, Provider Network Counsel, Regional Counsel, Litigation, Government Affairs, Privacy and Compliance.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree