Legal Senior Counsel, Market Access
Vertex Pharmaceuticals
12 hours ago
Remote friendly (New York, 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 company strategy while managing legal risk and protecting integrity/reputation.
- Provide legal counsel on Medicaid, Medicare, 340B program, and Veterans Health Care Act obligations.
- Advise on market access and reimbursement.
- Advise on government pricing, including price reporting compliance policies and reasonable assumptions documents.
- Support Centers for Medicare & Medicaid final rules/correspondence (letters, public comments).
- Advise on federal and state legislation impacting market access, pricing, reimbursement, and state drug price reporting/transparency laws.
- Counsel on services and contracting for specialty distributors and specialty pharmacies.
- Advise on data and special projects; brand strategic planning and business operation plans.
- Stay current on healthcare legislation/regulations and enforcement landscape.
- Ensure compliance with applicable laws and company policies, including the Anti-kickback Statute and other US healthcare compliance laws.
- Collaborate with commercial, pipeline, and privacy legal colleagues.
- Review select materials in the Communication Review Committee.
Qualifications & Skills
- JD (ABA-accredited) and member of a state bar.
- 8+ years post-JD life sciences legal experience (law firm and/or in-house).
- Government price reporting experience.
- Experience with market access statutes/regulations/guidance (Medicaid, 340B, VA; anti-kickback; state drug pricing transparency; OIG guidance/advisory opinions; False Claims Act; PhRMA Code).
- Strong communication (verbal/written), analytical/problem-solving/organization.
- Advanced contracting/redlining skills; attention to detail.
- Ability to manage outside counsel and budgets.
- Specialty medicines legal experience highly desired.
Benefits / Flex
- Pay range: $214,400 - $321,600.
- Eligible for annual bonus and annual equity awards.
- Remote-Eligible: Remote (remote 5 days/wk), Hybrid (remote up to 2 days/wk), or On-Site (5 days/wk on-site) depending on Flex designation.
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 company strategy while managing legal risk and protecting integrity/reputation.
- Provide legal counsel on Medicaid, Medicare, 340B program, and Veterans Health Care Act obligations.
- Advise on market access and reimbursement.
- Advise on government pricing, including price reporting compliance policies and reasonable assumptions documents.
- Support Centers for Medicare & Medicaid final rules/correspondence (letters, public comments).
- Advise on federal and state legislation impacting market access, pricing, reimbursement, and state drug price reporting/transparency laws.
- Counsel on services and contracting for specialty distributors and specialty pharmacies.
- Advise on data and special projects; brand strategic planning and business operation plans.
- Stay current on healthcare legislation/regulations and enforcement landscape.
- Ensure compliance with applicable laws and company policies, including the Anti-kickback Statute and other US healthcare compliance laws.
- Collaborate with commercial, pipeline, and privacy legal colleagues.
- Review select materials in the Communication Review Committee.
Qualifications & Skills
- JD (ABA-accredited) and member of a state bar.
- 8+ years post-JD life sciences legal experience (law firm and/or in-house).
- Government price reporting experience.
- Experience with market access statutes/regulations/guidance (Medicaid, 340B, VA; anti-kickback; state drug pricing transparency; OIG guidance/advisory opinions; False Claims Act; PhRMA Code).
- Strong communication (verbal/written), analytical/problem-solving/organization.
- Advanced contracting/redlining skills; attention to detail.
- Ability to manage outside counsel and budgets.
- Specialty medicines legal experience highly desired.
Benefits / Flex
- Pay range: $214,400 - $321,600.
- Eligible for annual bonus and annual equity awards.
- Remote-Eligible: Remote (remote 5 days/wk), Hybrid (remote up to 2 days/wk), or On-Site (5 days/wk on-site) depending on Flex designation.