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Counsel- Healthcare- Work at home- Express Scripts at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: St. Louis, Missouri





Job Description:

Remote, work from home, United States

JOB DESCRIPTION

This position will be responsible for providing legal advice on a variety of topics related to pharmacy networks. The qualified candidate must be able to develop a detailed and strategic understanding of the PBM business model and the various state and federal laws impacting pharmacy networks and network management. The position requires an understanding of the health care industry as well as the interpersonal skills necessary to understand and manage complexity, influence business colleagues, foster collaboration and drive results in a fast-paced environment.

RESPONSIBILITIES


  • Draft, review and negotiate complex provider agreements.

  • Provide day-to-day legal support relating to the pharmacy network management, including pharmacy pricing, credentialing, audits and investigations.

  • Provide interpretative and practical advice regarding a variety of state and federal laws impacting the health services business sector, including pharmacy networks.

  • Effectively collaborate with internal partners to advise and respond to a variety of legal issues impacting the pharmacy network.

  • Develop strong business relationships with stakeholders involved with the Company's pharmacy network operations, and will have shared responsibilities for supporting cross-functional strategic initiatives and managing key projects impacting the Company's pharmacy benefits management business.

QUALIFICATIONS


  • J.D. from accredited law school/Bar membership required

  • At least 5 years in-house legal department or law firm experience

  • Broad knowledge of the health care and health services industry needed; knowledge of HIPAA and health care fraud, waste and abuse laws preferred.

  • Experience with provider networks is a plus.

  • Strong analytical, written and oral communication skills, including negotiation skills

  • Demonstrated strong interpersonal skills to develop and manage relationships and collaborate effectively

  • Ability to identify issues and propose actionable and strategic legal and business solutions

  • Strong work ethic with effective time-management skills and ability to manage competing priorities

  • Demonstrated good judgment and attention to detail

  • Ability and desire to learn new subject areas and willingness to take on new responsibilities

This position is not eligible to be performed in Colorado.

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.





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