Managed Care Attorney Job at Larson Maddox, Milwaukee, WI

dnVpeXVjVm50MHRVM25Qd2p6bWdEZVh1NGc9PQ==
  • Larson Maddox
  • Milwaukee, WI

Job Description

Position Summary

I am working with a healthcare provider looking to add a seasoned healthcare attorney with deep expertise in managed care contracting and pharmacy law, including the 340B Drug Pricing Program to their legal team. This role will provide strategic legal counsel and transactional support across a broad range of healthcare operations, with a focus on managed care agreements, pharmacy compliance, and regulatory matters. The position is hybrid in Wisconsin.

Key Responsibilities

  • Lead the drafting, negotiation, and review of contracts with Managed Care Organizations (MCOs), PBMs, and pharmaceutical vendors.
  • Provide legal oversight for 340B-related agreements, including contract pharmacy arrangements and third-party administrator (TPA) relationships.
  • Advise on risk mitigation strategies and contractual obligations.
  • Ensure compliance with federal and state healthcare laws, including 340B, HIPAA, STARK, Anti-Kickback Statute, and CMS regulations.
  • Monitor regulatory developments and advise internal stakeholders on implications and required actions.
  • Support audits and enforcement actions related to 340B and managed care.
  • Provide counsel on dispute resolution, litigation, and arbitration related to managed care and pharmacy matters.
  • Collaborate with outside counsel as needed.

Qualifications

  • Juris Doctor (JD) from an accredited law school.
  • Active bar license in good standing in at least one U.S. jurisdiction (Wisconsin preferred).
  • Minimum of 7 years of legal experience in healthcare law, with a focus on managed care and pharmacy.
  • Demonstrated expertise in the 340B Drug Pricing Program and pharmacy regulatory compliance.

Preferred Skills

  • Experience working in or with integrated health systems or managed care organizations.
  • Familiarity with pharmacy operations, reimbursement models, and contract pharmacy structures.
  • Knowledge of payer-provider dynamics and value-based care arrangements.

Job Tags

Similar Jobs

gategourmet

Cook Job at gategourmet

 ...quality and efficiencies Additional duties may be assigned as deemed necessary by management Qualifications Education: ~ Culinary degree and/or cook certification is preferred Work Experience: At least 1 year of experience cooking in a high volume... 

Park Rose

Barback Job at Park Rose

 ...Park Rose Now Hiring Barbacks Park Rose, a new restaurant from Renwick Hospitality (Lindens, Altair, Lulla, Foxtail), is opening early October and seeking Barbacks to join our opening team. Inspired by the gardens of Rose Hill, Park Rose is a modern American-Italian... 

Family Office

Executive Personal Assistant (Part-Time) Job at Family Office

 ...entries per day for both professional and personal appointments Set up zoom calls for assigned meetings Book and maintain frequent travel itinerary including airfare, hotel, restaurant reservations, and ground travel Help organize day-to-day activities for multiple... 

NGA

Board Member, Non-profit (Director) Job at NGA

 ...Director (Board Member) The big picture Play a leading role in the next chapter of an organization that continues to do good in the community since 1885. National Giving Alliance has a 140-year history of providing new clothing to individuals in need. Our decorated... 

Miller Environmental, Inc

Site Safety Professional Job at Miller Environmental, Inc

 ...Miller Environmental is Hiring! Site Safety Professional Demolition / Abatement Construction At Miller Environmental, you are more than just an employee. You could be part of a team that works hard and makes a difference in your community. MEI offers competitive compensation...