Market Access Lawyer – Pharmaceutical Industry

Role Overview

• drafting, reviewing, negotiating, and advising on a broad range of market access-related agreements, including PBM, payer, GPO, wholesaler, specialty pharmacy, distribution, rebate, discount, value-based, outcomes-based, consulting, advisory board, master services, and data-sharing agreements
• providing legal guidance on market access, pricing, reimbursement, and government pricing obligations, including Medicaid Best Price, Average Manufacturer Price (AMP), Average Sales Price (ASP), 340B, and VA/FSS requirements
• advising on coverage, coding, and reimbursement initiatives in partnership with market access, health economics and outcomes research (HEOR), pricing, trade, and channel teams
• counseling clients on the design, implementation, and operation of patient support programs, co-pay assistance programs, and related arrangements, with particular focus on Anti-Kickback Statute and False Claims Act considerations
• collaborating with commercial, medical, regulatory, compliance, finance, and market access teams to ensure access-related strategies, communications, and materials comply with applicable laws, regulations, and industry standards
• managing legal and compliance issues related to pharmaceutical pricing, reimbursement, government reporting, and payer contracting activities
• providing practical, risk-based advice regarding interactions with payers, pharmacy benefit managers (PBMs), healthcare professionals, and government healthcare programs
• staying ahead of federal and state regulatory developments, enforcement trends, and industry guidance impacting market access, pricing, reimbursement, and commercial contracting

Requirements

• 5–8 years of experience as an attorney in a law firm and/or in-house legal department with a pharmaceutical, biotechnology, or biopharmaceutical company
• strong knowledge of laws, regulations, and guidance governing pharmaceutical commercial and market access activities, including FDA regulations, the Federal Food, Drug, and Cosmetic Act (FDCA), federal and state Anti-Kickback Statutes, beneficiary inducement rules, OIG guidance and advisory opinions, the False Claims Act, and the PhRMA Code
• proven track record drafting and negotiating PBM, payer, GPO, wholesaler, rebate, and other market access-related agreements
• experience advising on advertising and promotion, scientific exchange, patient support programs, and interactions with healthcare professionals and payers
• demonstrated ability to translate complex regulatory requirements into practical, business-oriented, and risk-based strategies
• Juris Doctor (JD) degree or equivalent and active license to practice law in at least one U.S. jurisdiction.

Benefits

• health, dental, and vision insurance
• paid holidays and PTO
• flexible work arrangements
• professional development opportunities and tools