Education: Doctorate
Experience: 8+ years
The Commercial & Healthcare Regulatory Counsel is a hands-on attorney focused on commercial and vendor contracting with regulatory issue-spotting. The role supports the Privacy, Compliance, Pharmacy Benefits Management and Operations teams to enable fast, compliant deals as the company scales integrated pharmacy and healthcare services under the Fuze Health (and FuzeRx) brands.
The ideal candidate will have experience with pharmacy or PBM contracting and compliance matters.
This is a hands-on role suited for a versatile attorney who enjoys building repeatable processes and enabling speed-to-contract without owning enterprise legal strategy or department leadership. Complex or novel matters will be escalated to the Senior Counsel and/or specialized outside counsel .
- Draft, review, and negotiate commercial agreements, including pharmacy services agreements, PBM network participation agreements, payer/client agreements, specialty pharmacy arrangements, data sharing agreements, BAAs/DPAs, SaaS and technology agreements, licensing agreements, MSAs, and SOWs, using playbooks and clause libraries.
- Manage redlines, issues lists, internal alignment, and approval workflows through execution; memorialize deviations and approvals.
- Maintain and improve templates, clause libraries, and playbooks to reduce cycle time and drive consistency.
- Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, and FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy laws, pharmacist professional licensing, PBM network participation rules, and HIPAA/HITECH.
- Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and accountability across healthcare and pharmacy regulatory domains.
- Partner with outside counsel on complex or novel regulatory questions; help implement recommendations.
- Support the Privacy team on HIPAA and data protection matters, including incident response, breach investigations, and privacy compliance activities.
- Assist with drafting and negotiating privacy and security provisions in client and vendor agreements, including BAAs, DPAs, and security addenda.
- Partner with internal stakeholders to identify and remediate data handling risks; encourage privacy-by-design practices.
- Draft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments, including vendors that support pharmacy operations, PBM services, patient support, data exchange, and related healthcare services.
- Partner with Procurement, Finance, Security/IT, Privacy, and Compliance on intake, diligence, and approvals (e.g., security questionnaires, BAAs/DPAs, SOC 2/ISO documents, COIs).
- Negotiate and document SLAs, support/uptime, data handling/retention, audit rights, business continuity, termination/transition assistance, and fee/charge guardrails.
- Provide timely, business-oriented legal advice to Commercial, Partnerships, and Operations teams.
- Contribute to process improvements (e.g., workflow design, contract lifecycle management, playbook refinements, dashboards) that scale the legal function.
- Support communications and marketing review for external messaging, disclosures, and public statements.
- Collaborate with Compliance on training materials, audits, and corrective actions.
- Support Compliance with PBM audits by researching and advising on state pharmacy and PBM laws and reviewing PBM contractual requirements.
- Assist with risk assessments, internal inquiries, and remediation planning as needed.
- J.D. from an accredited law school and active license to practice law in at least one U.S. jurisdiction.
- 8-10 years of legal experience (law firm and/or in-house) in pharmacy, PBM, healthcare, or digital health; strong candidates with 5+ years will be considered.
- Demonstrated experience drafting and negotiating commercial and technology agreements.
- Experience with vendor/procurement contracting and third-party risk management (e.g., SaaS/IT, SOWs, SLAs, security addenda, BAAs/DPAs).
- Working knowledge of healthcare regulatory frameworks (e.g., AKS, HIPAA, FDA, DEA, PBM, state pharmacy laws) with a willingness to deepen expertise and collaborate with specialists.
- Excellent communication, judgment, and organizational skills with a practical, business-minded approach.
- Ability to thrive in a fast-paced, evolving organization and manage multiple priorities effectively.
- Experience in pharmacy or PBM-related commercial/regulatory work, such as PBM network participation, payer/client contracting, prescription drug benefit administration, pharmacy services arrangements, specialty pharmacy, mail-order pharmacy, manufacturer/rebate-related arrangements, or state PBM laws.
- Exposure to data privacy, cybersecurity, and breach response.
- Familiarity with regulatory frameworks applicable to telehealth, diagnostics, and clinical operations.
- Experience with contract lifecycle management (CLM) and legal operations tooling.
- Familiarity with SOC 2/ISO 27001 and vendor security due diligence processes.
Benefits Information Here: https://west.acrisure.com/alto-pharmacy/benefits/
Application deadline: July 16th, 2026 (deadline may be extended as needed)
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This posting was published by Alto Pharmacy on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.