Assistant General Counsel

San Mateo, CA
Legal – Legal
Full-time
Introduction:
We are a family of medical professionals, women's health advocates, and software engineers on a mission to simplify the process of getting birth control! If you are interested in working at a rapidly growing healthcare startup and want to get in on the ground floor of building a company that’s changing the way birth control is dispensed please consider joining our team!

Summary:
In this role, you will be leading Pill Club’s legal strategy with respect to insurance contracting, insurance expansion and relationships with payors and pharmacy benefits managers.  As needs change and evolve, you will also support the VP of Legal and other Pill Club executives with a variety of legal needs including but not limited to, contracting, regulatory compliance and privacy.   As a member of a small team, you will have significant opportunities for growth and professional development. This position reports directly to the VP of Legal and work closely with the Market Access team and pharmacy teams.  

Responsibilities:

    • Lead legal strategy for the Pill Club with respect to the company’s relationship with payors and pharmacy benefits managers 
    • Be the head attorney for the company’s insurance arm and pharmacy compliance 
    • Procure and negotiate contracts with insurance plans, pharmacy benefits managers and pharmacy services administration organizations
    • Assist in licensure and credentialing for pharmacies and medical groups 
    • Assist in on-site and document audits 
    • Develop, plan, organize and execute day-to-day operational compliance activities throughout the organization  
    • Develop, maintain and enforce policies and procedures to prevent illegal, unethical or improper conduct 
    • Review, draft and negotiate supplier, product, technology and partner agreements
    • Develop standard contracts, forms and guidance for essential company projects
    • Assist with the tactical build-out of the company compliance program

Education Requirements:

    • Juris Doctor from an ABA accredited law school 
    • Admitted to and in good standing with either the California or Texas bar 

Years and Type of Experience/Skills Required:

    • Have at least 8 years of legal experience
    • Have prior in-house experience legal experience 
    • Have significant experience procuring and negotiating contracts with health plans, pharmacy benefits managers and/or pharmacy services administration organizations
    • Have experience with assisting a company with internal compliance reviews 
    • Have experience with healthcare and insurance regulations in multiple states 
    • Be flexible and be able to adapt and thrive in an environment that is constantly changing with an ability to prioritize and re-prioritize based upon the needs of the business
    • Have the ability to make all levels of the company comfortable coming to your for advice
    • Be a self-starter with high personal accountability while working well in a team environment
    • Be organized, process driven and detail oriented
    • Most importantly, have excitement to shape the future of one of the fastest growing healthcare companies and be eager to be a part of a quickly evolving industry

Additional Experience Preferred:

    • Have in-house experience at a pharmacy benefits manager, health insurance plan or a start-up
    • Have experience completing credentialing documents for health plans
    • Have experience with obtaining and renewing licenses (either pharmacy or medical) 
    • Have experience with handling audits (both on-site and document) from a board of pharmacy, board of medicine, board of nursing, and/or health plan 
    • Have experience drafting and reviewing vendor contracts 
    • Have working knowledge of the ACA, HI-TECH, HIPAA, Stark law at federal and state level
    • Have working knowledge in data privacy laws and regulations
    • Have prior experience implementing a corporate compliance program in a regulated industry