Legal Counsel - Healthcare

CVS Health • Illinois, Illinois • 4d ago

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Legal Counsel will provide strategic legal advice and counsel to internal business partners with respect to managed care contracting, provider arrangements, health care and pharmacy operations including 340b pharmacy, and healthcare regulations and laws. The Legal Counsel will also support the CVS Specialty and Coram managed care teams and operating units to undertake the drafting, negotiation and implementation of specialty pharmacy standalone contracting, 340B contracting, managed care payor arrangements, nurse agency contracts, and provide timely, practical and actionable legal guidance for legal and regulatory matters. The Legal Counsel will work collaboratively with CVS Health Legal, Finance, Underwriting, Compliance, Privacy and pharmacy operations to identify business and legal risks and provide solutions which balance legal issues and business objectives.

Required Qualifications

5+ years of experience as an licensed attorney at law firm or in-house position in a role with working knowledge of healthcare laws and regulations that impact the specialty and infusion/pharmacy business units, including HIPAA, Home Health Agency (HHA) and ambulatory infusion suite licensing, 340B pharmacy Medicare, Medicaid (including Medicare/Medicaid billing and reimbursement issues), nurse licensing, patient safety and discharge regulations, the False Claims Act, and the Federal Anti-Kickback Statute.

Preferred Qualifications

Knowledge of laws and regulations that impact the specialty and infusion/pharmacy business units, PBMs, including HIPAA, HHA and ambulatory infusion suite licensing, Medicare, Medicaid (including Medicare/Medicaid billing and reimbursement issues), nurse licensing, patient safety and discharge regulations. Excellent interpersonal skill and an understanding of health care regulatory and contract law.

Education

Juris Doctor and active Law License in one U.S. jurisdiction

Pay Range

The typical pay range for this role is:

$144,200.00 - $288,400.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 05/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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