Machinify · 2 hours ago
Pharmacy Team Attorney
Machinify is a leading healthcare intelligence company focused on delivering value and efficiency to health plans. The Pharmacy Team Attorney will provide legal counsel for Pharmacy operations, ensuring compliance with laws and regulations while collaborating with various stakeholders to mitigate risks and support business objectives.
AnalyticsArtificial Intelligence (AI)Business IntelligenceMachine LearningPredictive AnalyticsSaaS
Responsibilities
Identify relevant legal issues that could impact Pharmacy Operations and advise business leaders as appropriate so that informed decisions can be made
Provide timely and appropriate legal review and advice for the Pharmacy Operations team. This will include communicating with parties outside of Machinify to assist in the recovery efforts of the analysts
Monitor and interpret applicable laws, regulations, and guidance from CMS, state insurance departments, and other governing bodies
Identify potential legal risks and develop strategies to mitigate exposure in Pharmacy operations
Provide legal training to Pharmacy staff on compliance obligations and emerging regulatory trends
Negotiate with PBM representatives and employer group benefit managers to resolve contested Pharmacy recoveries
Manage and oversee litigation or disputes related to Pharmacy, including coordination with outside counsel when necessary
Assist Client Success with legal opinions and interpretations to respond and resolve client inquiries –may include participation in client or group conference calls
Communicate as needed to Pharmacy Operations regarding new court decisions, statutes, and regulations with instruction as to the effects on file handling
Work closely with compliance, operations, and pharmacy benefit management teams to ensure seamless integration of legal considerations into business processes
Present at industry and legal conferences to promote industry understanding of Pharmacy service offerings
Qualification
Required
Juris Doctor (JD) from an accredited law school; active license to practice law in the state of Kentucky as a member in good standing
Minimum 3–5 years of legal experience, preferably in healthcare, pharmacy benefits, or insurance law
Familiarity with COB processes, pharmacy benefit management, and healthcare regulations (HIPAA, ERISA, CMS guidelines)
Strong analytical and problem-solving abilities
Excellent written and verbal communication skills. Ability to communicate effectively throughout all levels of the organization
Willingness to handle disputed settlement negotiations and participate in litigation
Ability to manage multiple priorities in a fast-paced environment
Collaborative mindset with attention to detail
Working knowledge with Microsoft Office products
Benefits
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Remote and hybrid work options
Company
Machinify
Machinify is a SaaS platform that enables non-technical enterprises to build AI-powered products and processes.
Funding
Current Stage
Late StageTotal Funding
$12.79MKey Investors
Battery Ventures
2025-01-10Acquired
2018-10-08Series A· $10M
2016-03-15Seed· $2.79M
Recent News
2025-12-19
Dallas Morning News
2025-10-24
globallegalchronicle.com
2025-10-24
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