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Legal Senior Counsel, Market Access

Vertex Pharmaceuticals
16 days ago
Remote friendly (Ohio, United States)
United States
Market Access
Job Summary
Provide expert legal advice and counseling to the business on strategic and tactical projects in a highly regulated environment. Report to the Assistant General Counsel and support 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 to advance strategy while addressing legal risks and protecting integrity/reputation.
- Provide legal counsel on:
- Statutory/regulatory obligations under Medicaid, Medicare, 340B program, and Veterans Health Care Act
- Market access and reimbursement issues
- Government pricing (price reporting compliance policies; reasonable assumptions documents)
- Centers for Medicare and Medicaid final rules; correspondence (letters/public comments on proposed rules/guidance)
- Federal and state legislation impacting pharmaceutical market access/pricing/reimbursement and state drug price reporting/transparency compliance
- 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
- Compliance with applicable laws and company policies, including the Anti-kickback Statute and other US healthcare compliance laws/regulations
- Collaborate with legal colleagues (commercial, pipeline, privacy) to deliver comprehensive advice
- Review select materials in the Communication Review Committee
- Contribute to Legal & Compliance Department projects/initiatives and committees; share knowledge via presentations/discussions.

Qualifications / Preferred Experience
- JD from an ABA-accredited law school
- Member of a state bar
- 8+ years post-JD experience advising on legal matters in a life sciences space (law firm and/or in-house)
- Government price reporting experience
- Experience advising on market access statutes/regulations/guidance, including 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) and ability to give sound advice to lawyers and non-lawyers
- Advanced contracting and redlining skills; attention to detail
- Strong analytical/problem-solving/organizational skills; ability to handle multiple priorities timely
- Ability to manage outside counsel and adhere to budget
- Experience providing legal advice on specialty medicines (highly desired)

Pay Range (base)
$214,400 - $321,600

Application Instructions
Not provided.