Note: The job is a remote job and is open to candidates in USA. CVS Health is dedicated to building a more connected and compassionate health experience. They are seeking a Senior Legal Counsel to serve as the primary legal advisor for Aetna’s commercial business in the West region, focusing on regulatory compliance and risk management in a complex healthcare environment.
Responsibilities
- Advising on business initiatives, product design, filings, claims, utilization management, pharmacy, and provider network matters
- Leading responses to regulatory inquiries, investigations, and market conduct exams
- Providing proactive guidance on evolving state laws and requirements
- The role also serves as counsel to the Banner | Aetna joint venture in Arizona, advising on governance, regulatory strategy, and business initiatives
Skills
- 7+ years of legal experience with a law firm or in-house with a health plan or other highly regulated healthcare organization
- Juris Doctor (JD) and active bar membership
- Significant experience advising health plans or highly regulated healthcare organizations
- Experience managing regulatory inquiries, investigations, and enforcement matters, including those involving CDI, DMHC and Knox-Keene Act requirements
- Strong knowledge of insurance regulation, managed care law, or healthcare compliance
- Demonstrated ability to advise senior leaders and operate in high-risk, fast-paced environments
- Experience partnering cross-functionally with Compliance, Government Affairs, and business teams
- Ability to collaborate effectively and work as a team player
- Excellent written and oral communication skills, initiative, intellectual curiosity, and drive
Benefits
- This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
- This position also includes an award target in the company’s equity award program.
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Company Overview
CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/.