Associate Counsel – Pharmacy Benefit Management
About the role
We’re seeking an Associate Counsel to join our legal team as legal support for Blue Cross NC’s Pharmacy Benefit Manager (PBM) services, including services provided to the North Carolina State Health Plan for Teachers and State Employees. This role is well-suited for an attorney interested in working at the intersection of health care, pharmacy benefit administration, government programs, public procurement, and highly regulated health plan operations. This position requires a strong command of state and federal laws and regulations impacting pharmacy benefit administration and health plan operations. This role will partner closely with pharmacy, compliance, operations, data, finance, vendor management, and executive teams to help ensure contractual compliance, manage legal risk, and provide timely, legally supportable guidance across Blue Cross NC’s PBM operations and client relationships. The role will support matters involving the North Carolina State Health Plan as well as other PBM and pharmacy initiatives across the enterprise.
Responsibilities
- Develop and maintain a strong working knowledge of PBM contracts and related legal requirements, including vendor obligations, performance guarantees, reporting requirements, implementation milestones, financial terms, audit rights, data obligations, and operational commitments.
- Review PBM-related materials, communications, program documents, policy updates, vendor submissions, and other work product and provide practical, legally supportable guidance to business partners.
- Advise internal business partners on the interpretation and application PBM contractual requirements, including requirements related to pharmacy benefit administration, claims processing, formulary support, rebates, pricing, reporting, member communications, audits, and vendor performance.
- Serve as legal counsel supporting Blue Cross NC’s PBM business, including administration of the State Health Plan PBM contract.