VP, Senior Legal Counsel - Caremark

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviorsâ„¢ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The VP & Senior Legal Counsel for CVS Caremark is responsible for all legal matters related to PBM state audits and market conduct exams, state and federal regulatory matters, PBM clinical programs and Aetna pharmacy benefit. The VP & Senior Legal Counsel will act as a subject matter expert and provide timely, practical and actionable legal guidance enabling the business to reach its strategic goals. This role requires the highest degree of integrity and ability to influence and advise senior leaders within the organization. The individual should be a strong communicator with the ability to build enduring relationships and accomplish objectives both directly and through influencing other areas of the business. Major Responsibilities: Manage a team of attorneys responsible for advising the PBM business on implementing and complying with new laws and regulations, while achieving strategic goals. Anticipate and identify legal issues affecting Aetna's pharmacy benefit and proactively develop effective and practical legal strategies. Oversee PBM state audits, market conduct exams and investigations, working collaboratively with Compliance, Internal Audit and other business areas. Act as subject matter expert on major health care laws and regulations, including the Affordable Care Act (encompassing nondiscrimination in health programs and activities, health care consumer protections, transparency in coverage, etc.), the Mental Health Parity and Addiction Equity Act, the Consolidated Appropriations Act, 2021 (encompassing the No Surprises Act and transparency in health care) and ERISA. Supporting PBM clinical programs, including formulary development, Pharmacy & Therapeutics Committee, utilization management, and accreditation (e.g., URAC, NCQA). Required Qualifications 10+ years of legal experience in analyzing federal and state laws and regulations, advising businesses on compliance and negotiating with governmental agencies Strong knowledge of health care law Experience leading a large team of legal professionals Travel as needed Preferred Qualifications Law firm experience with some in-house and/or government experience preferred. Expertise in health care law, including familiarity with issues relevant to pharmacy benefit plans and government regulation and enforcement. Strong verbal and written communication skills, including the ability to communicate concisely. Excellent ability to integrate legal guidance with business goals. Must be able to understand and creatively support business objectives. The ability to work collaboratively in a large, complex corporate structure. Initiative, drive and self-confidence. Inspiring leader with a track record of building high performing teams. Ability to develop a deep understanding of the business and maintain positive relationships with colleagues at all levels of the organization. Comfortable in a fast-paced environment, with ability to successfully manage many projects simultaneously. Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) - Dallas, TX/Chicago, IL/Woonsocket, RI/ Hartford, CT/Scottsdale, AZ/New York City, NY Education Juris Doctorate degree and admission to a state bar is required The typical pay range for this role is: $250K-$350K 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 /benefits We anticipate the application window for this opening will close on: 09/30/2024 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 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 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. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2024-11-02