Legal Senior Counsel, Market Access
Vertex Pharmaceuticals
17 days ago
Remote friendly (Virginia, United States)
United States
Market Access
Job Summary
Provide expert legal advice and counseling to business partners on strategic and tactical projects in a highly regulated environment (reporting to the Assistant General Counsel), focusing on market access, government pricing, contracting, federal and state laws impacting pricing/access, antitrust, state pricing transparency, and patient assistance.
Key Responsibilities
- Advise business partners on commercial initiatives to advance company strategy while addressing legal risks and protecting integrity/reputation.
- Provide legal counsel on statutory/regulatory obligations under Medicaid, Medicare, 340B, and the Veterans Health Care Act.
- Counsel on market access and reimbursement.
- Advise on government pricing, including price reporting compliance policies and reasonable assumptions documents.
- Support CMS final rules and related correspondence (letters/public comments).
- Track and advise on proposed/enacted federal and state legislation affecting market access, pricing, reimbursement, and state drug pricing reporting/transparency laws.
- Advise on contracting/services for specialty distributors and specialty pharmacies.
- Support data and special projects; brand strategic planning and business operation plans.
- Stay current on healthcare laws/regulations and enforcement landscape.
- Ensure compliance with applicable laws and policies, including the Anti-kickback Statute and other U.S. healthcare compliance laws.
- Collaborate with other legal teams (commercial, pipeline, privacy) and review select materials in a Communication Review Committee.
Qualifications / Skills (Required & Preferred)
- JD from an ABA-accredited law school; member of a state bar.
- 8+ years post-JD experience advising on life sciences legal matters (law firm or in-house).
- Government price reporting experience.
- Experience with Medicaid, 340B, VA, federal/state anti-kickback statutes, state drug pricing transparency laws, OIG guidance/advisory opinions, False Claims Act, and PhRMA Code.
- Strong communication (verbal/written), analytical/problem-solving/organizational skills.
- Advanced contracting and redlining; strong attention to detail.
- Ability to manage outside counsel and budget.
- Experience advising on specialty medicines (highly desired).
Benefits / Pay / Work Location
- Pay range: $214,400–$321,600; eligible for annual bonus and annual equity awards.
- Medical, dental, vision; generous paid time off; educational assistance (incl. student loan repayment); commuting subsidy; matching charitable donations; 401(k).
- Remote-eligible with flexible designation (Remote/Hybrid/On-Site options).
Provide expert legal advice and counseling to business partners on strategic and tactical projects in a highly regulated environment (reporting to the Assistant General Counsel), focusing on market access, government pricing, contracting, federal and state laws impacting pricing/access, antitrust, state pricing transparency, and patient assistance.
Key Responsibilities
- Advise business partners on commercial initiatives to advance company strategy while addressing legal risks and protecting integrity/reputation.
- Provide legal counsel on statutory/regulatory obligations under Medicaid, Medicare, 340B, and the Veterans Health Care Act.
- Counsel on market access and reimbursement.
- Advise on government pricing, including price reporting compliance policies and reasonable assumptions documents.
- Support CMS final rules and related correspondence (letters/public comments).
- Track and advise on proposed/enacted federal and state legislation affecting market access, pricing, reimbursement, and state drug pricing reporting/transparency laws.
- Advise on contracting/services for specialty distributors and specialty pharmacies.
- Support data and special projects; brand strategic planning and business operation plans.
- Stay current on healthcare laws/regulations and enforcement landscape.
- Ensure compliance with applicable laws and policies, including the Anti-kickback Statute and other U.S. healthcare compliance laws.
- Collaborate with other legal teams (commercial, pipeline, privacy) and review select materials in a Communication Review Committee.
Qualifications / Skills (Required & Preferred)
- JD from an ABA-accredited law school; member of a state bar.
- 8+ years post-JD experience advising on life sciences legal matters (law firm or in-house).
- Government price reporting experience.
- Experience with Medicaid, 340B, VA, federal/state anti-kickback statutes, state drug pricing transparency laws, OIG guidance/advisory opinions, False Claims Act, and PhRMA Code.
- Strong communication (verbal/written), analytical/problem-solving/organizational skills.
- Advanced contracting and redlining; strong attention to detail.
- Ability to manage outside counsel and budget.
- Experience advising on specialty medicines (highly desired).
Benefits / Pay / Work Location
- Pay range: $214,400–$321,600; eligible for annual bonus and annual equity awards.
- Medical, dental, vision; generous paid time off; educational assistance (incl. student loan repayment); commuting subsidy; matching charitable donations; 401(k).
- Remote-eligible with flexible designation (Remote/Hybrid/On-Site options).