- Provide legal advice and guidance to PBM business Provide backup support other business units, such as the Pharmacy Services unit and rebate aggregator
- Demonstrate strong business acumen and ability to structure, draft and negotiate contracts
- Handle fast paced and high-volume workload
- Identify legal and compliance issues and business risks and offer effective solutions tailored to the situations. Identify and escalate to other leaders and GC as appropriate.
- Project management of key projects as needed
- Effectively communicate with all levels across Maxor business entities
- Demonstrate and apply knowledge of general commercial and healthcare law (such as HIPAA, Anti-Kickback, False Claims Act, state PBM regulations, etc.) plus PBM-related experience and knowledge of laws particularly impacting PBMs to effectively support business unit operations
- Identify opportunities for process improvements and efficiencies
- Work under the lead of General Counsel and exercise sound judgment as to matters that require attention of Legal and Compliance Department senior leadership
- Promote and ensure compliance with Maxor Business Code of Conduct, as well as other company policies and procedures
- Juris Doctorate degree from an accredited law school
- 5-10 years' legal experience with demonstrated excellent working knowledge and primary focus in healthcare
- Strong preference for candidates with pharmacy benefit management (PBM) client contracting for commercial lines of business and in-house experience
- Highly motivated with drive and ability to dig into the details, provide insight and drive decision- making
- Proven experience supporting geographically-dispersed teams
- Unquestionable integrity, ethics and The courage and ability to take a strong position when required for the good of Maxor
- Ability to communicate legal concepts and opinions in a digestible manner for business leaders
- Exceptional communication, relationship building and influencing skills
- Demonstrated ability to translate business goals into agreements and assist internal clients in navigating legal issues to support both the business goals and the best interest of the Company
- Highly intelligent and possesses intellectual curiosity to probe and understand complex business and legal issues and trends
- A natural leader with proven abilities across a broad range of internal and external constituents
- Adaptable nature, with the ability to reassess and adjust due to the evolving nature of the business
- Team player with a high level of self and cross-cultural Successful record for building strong and enduring relationships with a collaborative & engaging style, keeping ego in check
- Demonstrated business orientation
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
- And more
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Senior Legal Counsel - Plano, United States - Maxor National Pharmacy Services, LLC
Description
The Senior Legal Counsel is the legal advisor and point of Legal contact for the PBM business unit, which serves self-funded group health plans and an ACA health insurance exchange plan. Senior Legal Counsel will partner with business leaders on contracting, regulatory matters, and other legal needs in a growing, entrepreneurial healthcare business. As such, the Senior Legal Counsel will leverage general health care law experiences and knowledge, as well as specific knowledge of applicable state and federal laws, including state PBM laws, HIPAA, ERISA, the ACA, and the CAA, to support the business leaders with issue evaluation, contracting, proposing solutions, and more.
Senior Legal Counsel participates in and provides input on business strategy and legal risks to PBM and partners closely with the rest of the Legal team and Compliance team. Is also backup legal support for other business units, corporate matters, and other duties as assigned.
Location
Remote, home-based within the Continental US.
Our Company
Maxor is a leading pharmacy care solutions company dedicated to improving patient outcomes and lowering the total cost of care through our clinically integrated set of pharmacy care solutions. Our teams help optimize the pharmacy experience for patients, our customers, their employees, and members whether it's through our customized pharmacy benefit offerings; providing access to prescription medications and therapies through our home delivery and specialty pharmacies; or delivering clinical and financial value with our end-to-end pharmacy management solutions. With a legacy of exceptional service and deep clinical and pharmacy expertise, Maxor has been a trusted partner enabling pharmacy care since 1926.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. And, our employees are essential to their own well-being, finding fulfillment in meaningful work, teamwork & collaboration, competitive compensation, work-life balance, diverse and inclusive teams, and limitless career possibilities.
With a workforce of 1,100+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
Education:
Experience:
Knowledge, Skills, and Abilities:
WE OFFER
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.
We offer highly competitive compensation and comprehensive health benefits including:
Apply today at
Maxor is an EOE, including disability/vets
