Legal Senior Counsel, Market Access

Role Summary

Legal Senior Counsel, Market Access provides expert advice and counseling on market access, government pricing, and policy topics to support the business. Collaborates with Market Access, Trade & Distribution, Government Pricing, Government Affairs & Public Policy, and pipeline teams in a US remote setting.

Responsibilities

• Provide Advice and Counsel to Business Partners: advise on commercial initiatives while addressing legal risks and protecting integrity and reputation
• Provide legal advice on:
  • Market access and reimbursement issues, including contracting with customers involved in distribution
  • Anti-Kickback Statute and US healthcare compliance laws
  • Medicaid, Medicare, 340B, Veterans Health Care Act obligations
  • Government pricing topics, price reporting policies, and reasonable assumptions documents
  • CMS/Medicaid final rules and correspondence, public comments on proposed rules
  • Federal/state legislation impacting market access, pricing, reimbursement, and transparency
  • Specialty distributors and pharmacies contracting
  • Data/projects with customers
  • Brand planning and business operation plans
  • Staying abreast of healthcare legislation and enforcement landscape
  • Collaborate with legal colleagues in commercial, pipeline, and privacy for comprehensive advice
  • Review materials for internal and external use

Qualifications

• JD from ABA accredited law school
• Member of a state bar
• Minimum 8 years post-JD experience in life sciences, pharma, or related fields
• 3 years of law firm experience in a fast-paced environment
• Experience with market access statutes/regulations including anti-kickback, Medicaid/340B, Veterans programs, state pricing transparency, OIG guidance, False Claims Act
• Strong communication skills with ability to advise both lawyers and non-lawyers; business-focused
• Advanced contracting/redlining skills and attention to detail
• Excellent analytical, problem-solving, and organizational skills; capable of handling multiple responsibilities and meeting deadlines
• Experience managing outside counsel and budgeting
• Experience advising on cell/gene therapies and/or specialty medicines is highly desirable

Skills

• Legal advisory skills across market access, pricing, and regulatory compliance
• Contracting and cross-functional collaboration
• Excellent written and verbal communication
• Strategic business understanding and risk assessment

Education

• JD from ABA-accredited law school

Additional Requirements

• Remote-Eligible role; potential flexibility in work arrangement