Provide proactive, business‑oriented legal and compliance advice on market access, pricing, and reimbursement strategies for pharmaceutical and biologic products.
Advise on government pricing and reporting (e.g., Medicaid Best Price, AMP, ASP, 340B, VA/FSS) and the impact of commercial contracting strategies on those obligations.
Support coverage, coding, and reimbursement initiatives with market access, HEOR, trade/channel, and pricing teams.
Draft, review, negotiate, and advise on a broad range of market access–related agreements, including:
PBM, payer, and GPO agreements
Wholesaler, specialty pharmacy, and distribution agreements
Discount, rebate, and value‑based/outcomes‑based contracts
Consulting, advisory board, master services, and data‑sharing agreements related to market access activities.
Counsel on the design and implementation of patient support programs, co‑pay assistance, and related arrangements, with attention to anti‑kickback and False Claims Act risk.
Partner with commercial, medical, regulatory, and compliance teams to ensure that access‑related strategies, communications, and materials comply with applicable laws, regulations, and industry codes.
Stay current on U.S. federal and state laws, regulations, and enforcement trends impacting market access, pricing, reimbursement, and interactions with payers, PBMs, and health care professionals.
Requirements
5–8 years of experience as an attorney in a law firm and/or in‑house with a pharmaceutical or biopharmaceutical company
Experience drafting and negotiating PBM, payer, GPO, wholesaler, rebate, and other market access–related agreements
Prior experience counseling on legal issues relating to advertising and promotion, scientific exchange, patient support programs, and interactions with health care professionals and payers
Strong knowledge of, and experience advising on, statutes, regulations, and guidance applicable to commercial and market access activities
Demonstrated ability to translate complex regulatory requirements into practical, risk‑based contracting and access strategies
Efficient multitasker with strong interpersonal and communication skills; able to work independently and cross‑functionally with market access, commercial, medical, regulatory, compliance, and finance teams
Positive, solutions‑oriented mentality and willingness to tackle new and evolving business needs in a fast‑paced environment
Licensed and in good standing to practice law in your state of primary residence.