Legal Senior Counsel, Market Access
Vertex Pharmaceuticals
3 months ago
Remote
United States
Market Access
Job Summary
- Provide expert advice and counseling to the business on strategic and tactical projects in a highly regulated environment.
- Report to the Assistant General Counsel and provide legal support to business partners across Market Access (payer strategy, trade & distribution, government pricing), Government Affairs & Public Policy, and pipeline.
Key Responsibilities
- Advise business partners on commercial initiatives by advancing company strategy while addressing legal risks and protecting the company’s integrity and reputation.
- Provide legal advice on: Medicaid, Medicare, 340B program, Veterans Health Care Act; market access and reimbursement; government pricing (price reporting compliance policies and reasonable assumptions documents); CMS final rules and correspondence (letters and public comments); proposed/enacted federal and state legislation impacting pharmaceutical market access, pricing, reimbursement, and state drug price reporting/transparency laws; services and contracting for specialty distributors and specialty pharmacies; data and special projects; brand strategic planning and business operation plans; evolving healthcare legislation/regulations and enforcement landscape.
- Ensure compliance with applicable laws and company policies, including Anti-kickback Statute and other US healthcare compliance laws.
- Collaborate with legal colleagues (commercial, pipeline, privacy) and review select materials in the Communication Review Committee.
- Participate in Legal & Compliance initiatives (e.g., Culture; Pro Bono & Community Engagement) and share knowledge via presentations and discussions.
Qualifications / Skills (Required & Preferred)
- JD from an ABA-accredited law school; member of a state bar.
- 8+ years post-JD life sciences legal experience (law firm and/or in-house).
- Government price reporting experience.
- Experience advising on statutes/regulations/guidance for market access (e.g., Medicaid, 340B, Veterans Administration, federal/state anti-kickback statutes, state pricing transparency laws, OIG guidance/advisory opinions, False Claims Act, PhRMA Code).
- Excellent communication (verbal/written), analytical/problem-solving/organizational skills, and ability to manage multiple priorities.
- Advanced contracting and redlining skills; attention to detail.
- Ability to manage outside counsel and adhere to a budget.
- Experience advising on specialty medicines is highly desired.
Pay Range
- $214,400 - $321,600.
Flex Designation (Remote-Eligible)
- Choose Remote (remote 5 days/week with occasional office), Hybrid (remote up to 2 days/week), or On-Site (5 days/week on-site with ad hoc flexibility).
Application Instructions
- For accommodation requests related to the hiring process, contact ApplicationAssistance@vrtx.com.
- Provide expert advice and counseling to the business on strategic and tactical projects in a highly regulated environment.
- Report to the Assistant General Counsel and provide legal support to business partners across Market Access (payer strategy, trade & distribution, government pricing), Government Affairs & Public Policy, and pipeline.
Key Responsibilities
- Advise business partners on commercial initiatives by advancing company strategy while addressing legal risks and protecting the company’s integrity and reputation.
- Provide legal advice on: Medicaid, Medicare, 340B program, Veterans Health Care Act; market access and reimbursement; government pricing (price reporting compliance policies and reasonable assumptions documents); CMS final rules and correspondence (letters and public comments); proposed/enacted federal and state legislation impacting pharmaceutical market access, pricing, reimbursement, and state drug price reporting/transparency laws; services and contracting for specialty distributors and specialty pharmacies; data and special projects; brand strategic planning and business operation plans; evolving healthcare legislation/regulations and enforcement landscape.
- Ensure compliance with applicable laws and company policies, including Anti-kickback Statute and other US healthcare compliance laws.
- Collaborate with legal colleagues (commercial, pipeline, privacy) and review select materials in the Communication Review Committee.
- Participate in Legal & Compliance initiatives (e.g., Culture; Pro Bono & Community Engagement) and share knowledge via presentations and discussions.
Qualifications / Skills (Required & Preferred)
- JD from an ABA-accredited law school; member of a state bar.
- 8+ years post-JD life sciences legal experience (law firm and/or in-house).
- Government price reporting experience.
- Experience advising on statutes/regulations/guidance for market access (e.g., Medicaid, 340B, Veterans Administration, federal/state anti-kickback statutes, state pricing transparency laws, OIG guidance/advisory opinions, False Claims Act, PhRMA Code).
- Excellent communication (verbal/written), analytical/problem-solving/organizational skills, and ability to manage multiple priorities.
- Advanced contracting and redlining skills; attention to detail.
- Ability to manage outside counsel and adhere to a budget.
- Experience advising on specialty medicines is highly desired.
Pay Range
- $214,400 - $321,600.
Flex Designation (Remote-Eligible)
- Choose Remote (remote 5 days/week with occasional office), Hybrid (remote up to 2 days/week), or On-Site (5 days/week on-site with ad hoc flexibility).
Application Instructions
- For accommodation requests related to the hiring process, contact ApplicationAssistance@vrtx.com.