AscellaHealth | Berwyn, PA | Hybrid
AscellaHealth is seeking a Senior Legal Counsel position for our Berwyn, PA office. The Senior Legal Counsel is a senior individual contributor and strategic partner responsible for providing comprehensive legal guidance on contracts related to managed care and pharmacy benefit management services (PBM's), health plan relationships, network agreements, non-dispensing pharmacy activities, and regulatory matters. This role is central to enabling AscellaHealth's payer strategy while ensuring legal and regulatory compliance across all payer-facing activities. The ideal candidate brings contracting expertise, especially in health plan and managed care law, thrives in an environment of constant motion, and can balance practical business counsel with rigorous legal analysis.
This role will be hybrid, based at our AscellaHealth headquarters in Berwyn, PA, and will require in-office attendance for 3 days per week.
What the position will be doingManaged Care & Payer Contracting- Draft, review, and negotiate a high volume of contracts, including, but not limited to, master services agreements, pharmacy network agreements, rebate services agreements, confidentiality agreements, ancillary services agreements and vendor contracts.
- Advise the Payer business unit on contract strategy, risk allocation, reimbursement terms, and key legal provisions including exclusivity, termination rights, and indemnification.
- Maintain and manage a library of standard contract templates and playbooks, updating them as regulatory requirements or business needs evolve.
Regulatory Compliance- Monitor and interpret federal and state healthcare regulatory developments affecting the payer market, including laws affecting PBM's and PBM service providers, anti-steering laws, rebate and pricing laws, CMS rules, the Consolidated Appropriations Act of 2026, HIPAA regulations, Medicare and Medicaid laws, and state insurance regulations and requirements.
- Support the development and maintenance of compliance policies and programs related to payer interactions.
Strategic Legal Support- Serve as a trusted legal advisor to senior leaders in the Payer business unit, proactively identifying legal risks and recommending solutions that align with business objectives.
- Collaborate cross-functionally with Finance, IT members of the Payer business unit and members of the non-dispensing pharmacy.
- Assist with due diligence and legal integration activities for mergers, acquisitions, and joint ventures as may be directed by the General Counsel.
- Provide other legal support as directed by the General Counsel.
Necessary Skills, Education & Abilities- Juris Doctor (J.D.) from an ABA-accredited law school.
- Active bar membership in good standing required; licensure in the Commonwealth of Pennsylvania preferred.
- 7+ years of legal experience, with a focus on contracts in the healthcare industry, either at a law firm or in-house.
- Specific experience with in-house healthcare legal support is strongly preferred.
- Prior experience in specialty pharmacy, PBM, or specialty healthcare services is a plus.
- Extensive experience with negotiating and drafting contracts.
- Working knowledge of CMS coverage and reimbursement policies (Medicare Part B and D, Medicaid managed care).
- Familiarity with HIPAA, HITECH, and applicable privacy and security obligations in payer contexts.
- Experience with laws affecting PBMs and PBM service providers is highly desirable.
- Relentless attention to detail and the ability to be a creative self-starter and team player.
- Passionate and curious person who looks to learn continuously and embraces the adoption of new technologies that impact business, markets, and user experiences.
- Strong interpersonal skills and the ability to work both independently and in a team setting effectively.
- Problem-solving mindset with the ability to de-escalate issues and find solutions quickly and effectively.
- Strong business skills and demonstrated ability to build solid working relationships with teammates, business leaders, and stakeholders while exhibiting genuine care.
- Transparent and persuasive communication and presentation skills.
- Ability to thrive in an environment with constantly changing and potentially competing priorities.
- Ability to think and act independently, formulate, and support new ideas, champion new initiatives within and beyond the scope of own responsibilities.
- Proficient in Microsoft Office Suite, especially Excel, Word, and Outlook.
Ready to make an impact? Join us on our mission to transform specialty pharmaceutical services and improve patient lives. We're looking for passionate professionals who share our commitment to excellence and innovation. Apply today and become part of a team that's shaping the future of healthcare.
