Senior Legal Counsel (Litigation) - Remote

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Job Description

The Senior Legal Counsel (Litigation) will drive litigation strategy, manage a diverse portfolio of complex litigation, proactively identify and mitigate risk, and provide legal advice to senior leadership. Reporting to the AVP, Litigation, you will join a team of driven and collaborative litigators. This role requires a litigator who can serve as an in-house strategic adviser to the business, proactively managing risk from pre-litigation assessment through resolution and implementation of risk-mitigation strategies.

Responsibilities

• Independently manage a diverse portfolio of litigation, investigations, and disputes across an array of subject matters, including antitrust, ERISA, contract, False Claims Act, the Anti-Kickback Statute, fraud, waste, and abuse, and regulatory.
• Develop and direct litigation strategy, including selecting, retaining, and managing outside counsel and other litigation vendors, including negotiating rates and alternative fee arrangements, monitoring performance and spend, and ensuring efficient delivery of legal services
• Assess threatened and emerging disputes; partner with business leaders to investigate disputes; evaluate legal exposure, business impact, potential damages, and resolution options; and develop strategies to mitigate risk
• Drive resolution efforts, including preparing settlement recommendations and negotiating settlement agreements
• Direct discovery on complex matters, including productions, protective orders, custodial interviews, and data collection
• Oversee litigation holds and preservation obligations

• Respond to civil investigative demands and subpoenas

• Monitor developing litigation and regulatory risks, and recommend changes to business practices, policies, contracts, or controls to reduce future legal exposure
• Inform and advise legal leadership and executives on litigation strategy and status
• Manage insured litigation matters in coordination with insurance carriers, including providing timely notice of claims, evaluating coverage and reservation-of-rights issues, satisfying reporting obligations, and pursuing reimbursement of covered defense costs and settlements
• Develop and deliver training and guidance on legal principles, emerging issues, and risk considerations
• Mentor department staff and provide practice-area guidance that strengthens legal capability and consistency
• Other duties as assigned

Minimum Qualifications

• Juris Doctor degree and current state attorney's license

• 7 years of experience practicing as an attorney or related legal experience in a regulatory or compliance role, including at least 5 years as an attorney representing managed care companies or other healthcare clients

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Excellent written and oral communication skills
• Demonstrated experience independently managing complex litigation and investigations through all phases of a matter, including pre-litigation assessment, discovery, dispositive motions, settlement, and trial preparation
• Experience managing litigation and/or investigations involving significant e-discovery, complex data, and large-scale document productions
• Experience directing and supervising outside counsel and managing budgets
• Demonstrated ability to exercise independent judgment and provide practical, business-oriented advice in matters involving significant legal, financial, reputational, or regulatory risk
• Demonstrated ability to influence business clients and effect necessary changes in policies or behaviors
• Ability to manage multiple high-stakes matters with competing priorities, including the ability to coordinate internal stakeholders, outside counsel, experts, insurers, and other third parties
• Financial acumen and familiarity with common business finance principles
• Ability to distill complex concepts or situations into concise and compelling communications
• Advanced negotiation, influence, and stakeholder management skills

Preferred Qualifications

• Experience with litigation involving PBMs, pharmacies, and/or health benefit insurers
• Experience managing muti-district litigation or similar mass action litigation or arbitration
• Experience with government enforcement matters, including state attorney general actions and investigations
• Experience managing complex litigation in an in-house position
• Experience advising senior and executive leaders on complex healthcare, regulatory, transactional, or litigation matters
• Experience collaborating with health plan, client, owner, or other stakeholder counsel

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.