Humana Senior Legal Counsel- Pharmacy in Louisville, Kentucky

Role: Senior Legal Counsel- Pharmacy Location: Louisville, KY

Healthcare isn’t just about health anymore. It’s about caring for family, friends, finances, and personal life goals. It’s about living life fully. At Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. At Humana, we’re seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry as a whole.

Assignment Capsule

Be a part of the Legal team -- drive healthcare strategy with your legal expertise. Humana is seeking an experienced attorney to provide contracting and legal support to its PBM and pharmacy business units. This position will draft and negotiate complex agreements across the PBM and pharmacy lines of business as well as provide regulatory advice and counsel on a diverse range of topics. Primary responsibilities include:

  • Review and draft pharmacy benefit management, supply chain, rebate, and data use agreements

  • Provide regulatory advice and counsel on PBM and pharmacy related matters, including Medicare Part D requirements, state and Federal fraud, waste, and abuse laws, and state pharmacy operations and licensure requirements

  • Provide legal support to pharmacy network contracting team, including review of network agreements and advising on PBM/pharmacy network disputes

    Key Competencies

  • Acts Strategically : Makes decisions and sets strategy based on the long-term vision, uses an enterprise-wide perspective to translate strategies into actions, inspires others to embrace and advance the strategy, and creates a clear view of the future state.

  • Leads Change : Guides and energizes others, models adaptability, and inspires strong organizational performance through periods of transformation, ambiguity, and complexity.

  • Accountability : Meets established expectations and takes responsibility for achieving results; encourages others to do the same.

  • Customer Focus : Connects meaningfully with customers to build emotional engagement and customer advocacy. Simplifies complexity and integrates internal efforts to deliver an optimal customer experience.

    Role Essentials

  • Juris Doctorate, with licensing in at least one state

  • Six-to-Nine years of experience with healthcare and pharmacy regulations

  • Experience drafting, reviewing, and negotiating agreements

  • Ability to create preventive strategies for reducing risk across PBM and pharmacy operations

  • Experience with Federal and state fraud, waste and abuse laws and regulations Role Desirables

  • Pharmaceutical manufacturer contracting experience

  • Familiarity with CMS regulations, including Medicare Part D

  • Specialty Pharmacy services and distribution experience

Title: Senior Legal Counsel- Pharmacy

Location: KY-Louisville

Requisition ID: 177800