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.

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