Assistant General Counsel

Role Overview

• Serve as primary legal counsel for the PBM business unit, advising executive leadership on strategy, regulatory developments, and business risk.
• Provide sound, practical judgment in the interpretation and application of relevant laws such as state PBM laws and regulations, federal PBM reform, and HIPAA.
• Demonstrate strong business acumen and the ability to structure, draft, and negotiate contracts.
• Identify legal and compliance issues and business risks and offer effective, tailored solutions. Identify and escalate to other leaders and the General Counsel as appropriate.
• Advise on regulatory issues and assist with inquiries from Departments of Insurance.
• Provide backup legal support for other business units, such as the Pharmacy Services unit and rebate aggregation.
• Handle a fast-paced and high-volume workload with sound prioritization.
• Lead and manage key projects as needed.
• Effectively communicate with all levels across VytlOne business entities.
• Understand complex legal, compliance, and business situations and discern relevant versus non-relevant facts.
• Collaborate cross-functionally and build deep knowledge of the business and key stakeholders.
• Proactively develop and maintain legal knowledge in specialized areas, remaining current on regulations, cases, trends, and best practices.
• Identify opportunities to improve efficiency while maintaining high service levels.
• Provide leadership within the Legal Department by leading initiatives, ensuring consistency across staff, and adhering to department SOPs.
• Communicate in a professional and persuasive manner with appropriate support and substantiation for legal advice and recommendations.
• Manage and oversee outside counsel as necessary.
• Assist in managing litigation matters, including disputes, claims, and regulatory investigations.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within established timeframes.
• Hire, train, and develop departmental staff; conduct performance evaluations and provide career coaching.
• Promote teamwork and maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Requirements

• Juris Doctor (JD) degree from an accredited law school and active Bar license
• Minimum of 10 years of legal experience, with a significant portion spent in-house at a pharmacy benefit manager or health insurance carrier. Candidates without direct in-house PBM or payor experience will not be considered. Law firm experience in healthcare alone does not satisfy this requirement.
• Strong understanding of state and federal laws governing pharmacy benefit managers, ERISA, HIPAA, and other relevant healthcare regulations.
• Excellent analytical, problem-solving, and negotiation skills.
• Highly effective written and verbal communication abilities.
• Exceptional relationship building and influencing skills.
• Strong contract drafting and negotiation skills.
• Highly motivated with drive and ability to dig into the details, provide insight, and drive decision-making.
• 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 interests of the Company.
• 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 awareness. Successful record for building strong and enduring relationships with a collaborative and engaging style, keeping ego in check.
• Highly intelligent, with intellectual curiosity to probe and understand complex business and legal issues and trends.
• Unquestionable integrity, ethics, and judgment. The courage and ability to take a strong position when required for the good of VytlOne.

Benefits

• Nationwide Blue Cross Blue Shield PPO with employee friendly plan design, including $850 individual annual medical deductible, $25 office visit copays, Low biweekly premiums
• Company paid basic life/AD&D, Short-term and Long-term disability insurance
• Rx, dental, vision, short-term disability, and FSA
• Employer-matched 401k Plan
• Industry leading PTO plan
• A positive, high energy work culture
• Fantastic team members
• Growing pharmacy company with opportunity for real career advancement
• Comprehensive mental health and wellbeing resources
• And MORE