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Position Summary

The Sr. Legal Counsel will provide strategic legal advice and counsel to internal business partners with respect to managed care contracting, provider arrangements, health care and pharmacy operations, and healthcare regulations and laws. The Sr. Counsel will also support the Specialty managed care team and the Coram infusion/pharmacy business unit to undertake and oversee the drafting, negotiation and implementation of specialty pharmacy standalone contracting, including managed care payor arrangements, and provide timely, practical and actionable legal guidance for all legal and regulatory matters related to and in support of the contracting function.  Additional activities include managing outside counsel and supporting internal stakeholders to protect company assets, mitigate risk, and optimize operational performance. The Sr. Counsel will also work collaboratively with CVS Health Legal, Finance, Compliance and Privacy to identify business and legal risks and provide solutions which balance legal issues and business objectives.

Required Qualifications

The Sr. Legal Counsel will have a strong work ethic, be a self-starter, and be able to be highly productive working with multiple cross functional teams in a dynamic, collaborative environment. This position offers broad exposure to many aspects of the company’s business, as well as significant interaction with legal and business leaders. The candidate will be expected to have the following key attributes:

• Minimum of 8 years of experience as an attorney at law firm or in-house position in a role with working knowledge of healthcare laws and regulations, the False Claims Act, and the Federal Anti-Kickback Statute.
• Excellent drafting and negotiation skills
• Experience advising a health care research services organization.
• Excellent interpersonal skills and an understanding of healthcare regulatory and contract law.
• Strong verbal and written communication skills.
• Ability to handle multiple priorities within deadlines without significant direct supervision.
• Excellent analytical and problem-solving skills.
• Sound professional judgment.
• Responsive to requests and strong adherence to deadlines.
• Customer-focused orientation.
• Foster collaborative and collegial relationships with colleagues and clients.
• Assist with special projects and serve on cross-functional teams.
• Licensed to practice law and current, active member in good standing of a state bar.

Preferred Qualifications

Knowledge of laws and regulations that impact the Specialty, Infusion/pharmacy business units, PBMs, including HIPAA, HHA licensing, Medicare, Medicaid (including Medicare/Medicaid billing and reimbursement issues), nurse licensing, patient safety and discharge regulations.

Ability To:

• Identify business and legal risk while providing solutions to balance legal issues with business objectives.
• Lead and influence others and while working collaboratively at all levels with internal and external parties.
• Work in a in a fast-paced environment and successfully manage many projects – – whether large or small, complex or simple — simultaneously.
• Work Hybrid Model.
• Manage outside counsel and consultants.
• Manage highly sensitive and high visibility projects.

Education

Juris Doctor or equivalent.

Pay Range

The typical pay range for this role is:

$175,100.00 – $334,800.00

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. 

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.