Senior Legal Counsel - Pharmacy Benefit Manager (PBM)
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. Serves as a subject matter expert by providing legal advice and interpretation of new legal requirements.
Major Responsibilities:
- Provides advanced legal advice and counsel to promote the company's mandates and protect the overall interests of the company.
- Prepares communications with state regulators, examiners, and/or consultants with expected deadlines/short timelines.
- Researches and analyzes state laws and regulations.
- Performs legal review and assessment of any adverse state market conduct exam findings and consent orders.
- Supports legal review, analysis, and outcomes of state mental health parity exams.
- Identifies and reviews legal risk for buisness areas/subject matter experts for purposes of assessing market conduct impact and corrective action plans.
- Provides legal expertise on company-wide initiatives, which may require legal research and advice related to various parts of the CVS Health enterprise.
- Works collaboratively and cross functionally with a variety of areas including members of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas.
- Assists with onboarding junior-level staff to promote the development of departmental capabilities.
Required Qualifications
- 8+ years of legal attorney experience in a law firm and/or in-house setting
- Mastery of problem solving and decision making skills
- Mastery of collaboration and teamwork
- Mastery of growth mindset (agility and developing yourself and others) skills
- Mastery of execution and delivery (planning, delivering, and supporting) skills
- Mastery of business intelligence
Preferred Qualifications
- In-house Counsel Certification (IC In-house Counsel Certification (ICC) preferred.
- In depth knowledge of healthcare laws, regulations and industry standards governing the provision of healthcare including, for example, ACA, Medicare, Medicaid, Any Willing Provider and other provider network issues, pharmacy and/or mental health parity.
- Experience working with state and federal government agencies, healthcare laws and regulations.
- Experience working with PBMs and/or the pharmacy division of a health plan and/or with health plans.
Education
JD required
Bachelor's Degree required
Pay Range
The typical pay range for this role is:
$175,100.00 - $334,750.00
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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 11/05/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Average salary estimate
If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.
Provide integrated behavioral health screening, short-term evidence-based psychotherapy, and care coordination as a licensed Behavioral Health Specialist supporting Oak Street Health primary care teams in Chicago.
Lead enterprise strategy for CVS Health’s pharmacy businesses, shaping long-term priorities, enabling new growth initiatives, and working with senior leaders to turn complex opportunities into executable plans.
Edwards Lifesciences is hiring a Clinical Contracts Analyst in Irvine to negotiate and manage clinical trial contracts supporting evidence-generation for transcatheter heart valve therapies.
Provide secure, HIPAA-compliant release of medical records and exceptional customer service while managing requests across Meditech, Chartmaxx, Papervision and paper/chart systems.
Experienced compliance or legal professional needed to lead institutional client compliance activities, CIT administration, and regulatory support for Capital Group’s Client Services Compliance Team in New York.
Ibotta is seeking an Associate Data Privacy Program Manager in Denver to support and maintain privacy compliance programs, documentation, and operations across the business.
Iterable is hiring a Senior Product Counsel to provide product-focused legal guidance on data protection, regulatory compliance, and commercial tech agreements for a fast-growing SaaS platform.
Lead and develop a high-performing fraud escalation team at Q2 to investigate complex financial fraud cases, reduce customer impact, and strengthen enterprise controls.
Highmark Health seeks an undergraduate Summer 2026 Risk & Compliance Management Intern in Pittsburgh to support enterprise risk and compliance assessments and gain practical experience across frameworks like HIPAA, NIST, and HITRUST.
City of Dallas seeks an experienced Environmental Specialist II to conduct field inspections, manage spill response, and ensure municipal compliance with environmental regulations.
Lead the Business Affairs team at Alfred Music to manage licensing, royalties, contracts, and rights clearance across Music Brands while partnering with editorial, production, sales, and legal stakeholders.
Lead Cardinal Health’s enterprise risk strategy as Director of ERM by building a consistent risk framework, advising senior leaders, and driving risk-informed decision making across the organization.
Senior subject-matter expert role to lead U.S. export control governance (ITAR/EAR), influence global standards, and support Bosch business units on compliance and regulatory risk.
An experienced in-house commercial contracts attorney who loves AI and prompting techniques to build and implement advanced contract playbooks and workflows for enterprise customers.
A senior in-house attorney is needed to drive commercial and technology contracting strategy, negotiating complex SaaS agreements and enabling revenue while protecting long-term company interests.
We help people with their health wherever and whenever they need us. And we do it with heart. Because our passion is our purpose: Bringing our heart to every moment of your health™.
58 jobs
🔮
Hi, I'm Risa! Your AI Career Copilot
you, just ask me below!
