Associate General Counsel, Pharmacy Programs - Remote

Minnetonka, Minnesota (United States) Overview In this role you will provide strategic legal counsel for pharmacy benefit programs across Commercial, Exchange, and Medicaid lines. You will partner with pharmacy, clinical, product, operations, compliance and regulatory teams to shape formulary decisions, drug coverage policies, and regulatory compliance. You will translate complex laws into practical business guidance while balancing risk and member impact. The role offers remote work with office presence in some locations and involves advising on AI-related initiatives to improve efficiency and governance. Compensation / Benefits remote work flexibility comprehensive benefits package equity stock purchase 401k contribution Responsibilities Provide legal counsel on pharmacy benefit design, administration and operations across Commercial, Exchange and Medicaid products Advise on formulary development, drug coverage policies, utilization management, prior authorization and related initiatives Support Pharmacy & Therapeutics (P&T) Committee governance and related legal considerations Counsel on state and federal laws, regulations, and enforcement developments affecting PBM programs Advise on implementing new regulatory requirements and develop compliant operational solutions Partner with compliance, regulatory, product and operational teams to assess legal risks and mitigation strategies Review and negotiate contracts with pharmacy vendors, PBMs, clinical partners, and service providers Support regulatory examinations, audits and governmental inquiries Provide legal support for strategic initiatives around affordability, access, clinical innovation, and member experience Deliver guidance to senior leaders on complex legal, regulatory and business issues Collaborate across Legal, Compliance, Government Affairs, Product, Clinical Services, Finance and Operations Review AI-related initiatives and provide guidance on development and use of AI-enabled tools Understand and leverage opportunities to use AI to improve efficiency and processes Key requirements 5+ years of relevant legal experience in law firm, government, or in-house Juris Doctor degree and active license to practice law 1 year of experience with a health insurer, healthcare organization, PBM, or similar Experience interpreting healthcare regulatory requirements and advising on regulatory issues Strong written and verbal communication skills and ability to influence stakeholders Ability to manage multiple priorities in a fast-paced environment Experience supporting healthcare products, operations, clinical programs, or pharmacy initiatives Experience providing practical, risk-based legal guidance strong written and verbal communication influencing stakeholders and building consensus collaboration across functions healthcare regulatory compliance contract review and negotiation PBM/pharmacy operations knowledge