General Counsel (PBM)

Help shape the future of a more transparent, member-focused pharmacy benefit model. An exceptional opportunity exists for a growth oriented and business-minded General Counsel to join a financially stable, fundamentally sound, and rapidly growing pharmacy benefit management organization that is challenging conventional industry practices and building for the future.

This is an opportunity to join a company with an established, tenured team, outstanding leadership, and a strong foundation for continued growth. The organization is experiencing significant momentum while continuing to evolve its model, refine its approach, and identify better ways to serve its clients and members. The company is committed to transparency, accountability, and putting the interests of its members and client groups at the center of its business. It is looking for a legal leader who understands that effective counsel is not simply about identifying risk—it is about helping the business navigate complexity, move with confidence, and pursue growth responsibly.

The General Counsel will serve as a trusted advisor to the executive leadership team, providing strategic and practical legal guidance across the organization while helping shape the company's next stage of growth.

As the General Counsel

This is much more than a traditional legal leadership position. The successful candidate will have a meaningful voice in business strategy, commercial decision-making, cost-containment, risk management, and the continued evolution of the company's operating model across the industry.

Working closely with executive leadership, the General Counsel will help the organization navigate a complex and changing healthcare landscape, support commercial innovation, strengthen governance, and ensure the business is positioned to grow sustainably.

The ideal candidate combines strong legal judgment with commercial instincts, sound business acumen, and the ability to translate complex regulatory and contractual issues into clear, actionable guidance. They will be comfortable working in a dynamic environment where the business continues to iterate, challenge assumptions, and pursue opportunities to deliver greater value to clients and members.

Key Responsibilities

Strategic Legal Leadership

Serve as a trusted legal advisor and strategic partner to the CEO, executive leadership team, and other key stakeholders.

Provide practical, commercially minded counsel on business strategy, growth initiatives, partnerships, and organizational priorities.

Anticipate legal and regulatory developments affecting the PBM and broader healthcare landscape, helping the business respond proactively.

Balance thoughtful risk management with the ability to move decisively and capitalize on opportunities.

PBM Regulatory and Compliance Oversight

Guide the organization through the evolving federal and state regulatory environment governing pharmacy benefit management, prescription drug pricing, pharmacy networks, and healthcare services.

Advise on applicable PBM licensing requirements, state and federal legislation, fiduciary and disclosure obligations, and contractual transparency provisions.

Partner with compliance and operational leadership to maintain effective policies, controls, and governance practices.

Translate complex legal and regulatory requirements into practical guidance that supports business execution and protects the organization.

Commercial Agreements and Business Partnerships

Lead and oversee the negotiation, drafting, and management of key commercial agreements, including client, employer, health plan, third-party administrator, broker, pharmacy network, and vendor agreements.

Advise on pricing structures, contractual guarantees, performance commitments, financial arrangements, audit rights, data use, and other material commercial terms.

Support business development and client-facing teams in structuring creative, competitive, and sustainable agreements.

Help identify and resolve contractual issues early, enabling the organization to pursue opportunities while appropriately managing exposure.

Corporate Governance and Enterprise Risk

Oversee corporate governance, board matters, corporate policies, and other foundational legal responsibilities.

Develop and maintain an effective approach to enterprise risk management, insurance, litigation, dispute resolution, and outside counsel relationships.

Evaluate legal exposure associated with new products, services, partnerships, and evolving business practices.

Provide clear recommendations to leadership on material risks, alternatives, and potential business implications.

Business Enablement and Organizational Partnership

Build strong working relationships across commercial, finance, operations, pharmacy, compliance, technology, and client service teams.

Bring a solutions-oriented mindset to complex questions, offering options and recommendations rather than simply identifying obstacles.

Help the company adapt as it scales, ensuring legal processes and contractual frameworks support growth without creating unnecessary friction.

Foster a culture of accountability, integrity, transparency, and sound decision-making.

The Ideal Candidate

The successful candidate will bring a combination of legal expertise, commercial perspective, and leadership maturity.

Juris Doctor (JD) from an accredited law school and an active license to practice law in at least one U.S. jurisdiction.

Significant legal experience, including meaningful exposure to pharmacy benefit management, healthcare services, managed care, pharmacy, or a closely related regulated industry.

Demonstrated experience advising executive leadership on complex commercial, regulatory, contractual, and strategic matters.

Strong understanding of PBM business models, prescription drug economics, pharmacy networks, client contracting, and the regulatory environment affecting pharmacy benefits.

Experience negotiating sophisticated commercial agreements and balancing business objectives with legal, regulatory, and financial considerations.

Excellent judgment, communication, negotiation, and problem-solving skills.

Ability to explain complex legal concepts in a clear, practical manner to both legal and nonlegal stakeholders.

A collaborative, approachable leadership style and the confidence to challenge assumptions when appropriate.

Why This Opportunity?

A strong foundation and meaningful momentum. Join a financially stable organization with a fundamentally sound business, an established team, and a clear appetite for continued growth.

Exceptional leadership. Work alongside a tenured leadership team that values collaboration, thoughtful decision-making, and building a business for the long term.

A differentiated approach to pharmacy benefits. Be part of an organization committed to transparency, accountability, and delivering meaningful value to the clients and members it serves.

A seat at the table. Contribute directly to executive-level decisions, commercial strategy, risk management, and the evolution of the business.

The ability to make an impact. Help shape the legal and commercial frameworks that support growth, strengthen partnerships, and allow the organization to continue improving how pharmacy benefits are delivered.

A dynamic, evolving environment. Join a business that is not standing still—one that continues to evaluate its model, challenge conventional thinking, and pursue better outcomes for its stakeholders.

Travel Requirements

This will require some on-site travel to the corporate office (4-5 Days) per month for ELT meetings and business engagement.