DisclosedRx · 18 hours ago
General Counsel (MUST HAVE 10+ YEARS IN PBM OR ADJACENT EXPERIENCE)
United States
Full-time
Remote
Director/Executive
10+ years expDisclosedRx is a company focused on healthcare operations, seeking a General Counsel to lead legal, regulatory, compliance, and governance matters. This role involves overseeing compliance with healthcare laws, providing legal counsel to support growth, and managing litigation and disputes.
Hospital & Health Care
Responsibilities
Oversee compliance with federal and state healthcare laws and regulations applicable to PBMs, including ERISA, HIPAA/HITECH, state PBM, insurance, and pharmacy laws, Anti-Kickback Statute, and False Claims Act
Monitor regulatory developments impacting PBMs and proactively advise leadership on risk mitigation and business impact
Lead regulatory responses, audits, examinations, and enforcement matters
Maintain an effective compliance program aligned with industry best practices
Lead and oversee the Company's legal and compliance functions, including policy development, training, and internal investigations
Partner with executive leadership and the Board of Directors on governance matters and enterprise risk management
Provide strategic legal counsel to support company growth and operational objectives
Oversee drafting, review, and negotiation of complex contracts, including: 1. Client and payor agreements 2. Pharmacy network and specialty pharmacy agreements 3. Manufacturer rebate and services agreements 4. Vendor and technology agreements
Support sales and business development efforts by advising on contract structure and regulatory considerations
Advise on data privacy, cybersecurity, and information governance matters involving protected health information (PHI)
Manage all litigation, disputes, and government inquiries
Coordinate with outside counsel as needed
Qualification
Required
Juris Doctor (JD) from an accredited law school
Active license to practice law in at least one U.S. jurisdiction
10+ years of legal experience, with significant experience in healthcare, PBM, managed care, or health insurance
Demonstrated experience advising executive leadership and Boards of Directors
Deep understanding of PBM operations and healthcare regulatory frameworks
Strong executive presence with the ability to influence and advise at the highest organizational levels
Exceptional judgment and ability to balance legal risk with business strategy
Excellent leadership, communication, and negotiation skills
Ability to manage complex, high-risk matters in a fast-paced regulatory environment
Preferred
Prior experience as in-house counsel or General Counsel in a PBM, health plan, healthcare services organization, or similarly regulated industry strongly preferred
Company
DisclosedRx
DisclosedRx provides the best pharmacy benefits for your employees at the lowest total net cost.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
D
Daniel Rush
Founding Partner
Recent News
2025-06-03
Company data provided by crunchbase