We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary:
As Legal Counsel, you will provide legal guidance, interpretation, advice and recommendations for action to internal stakeholders and senior/executive management regarding federal/state regulations in the healthcare industry. This role will also allow you to serve as a subject matter expert by providing legal advice and interpretation of new legal requirements.
What you will do:
Provide legal support to CVS Health's PBM, Caremark, on commercial clinical programs, including formulary management, utilization management, and related clinical operations.
Advise clients on the application of federal and state laws and regulations to the company's business activities.
Research and maintain current knowledge of applicable federal and state healthcare laws, insurance laws, and regulations relevant to pharmacy benefit managers, including state PBM licensing, registration, and reporting requirements.
Effectively communicate regulatory constraints and operational guardrails to non-legal and non-clinical partners.
Review PBM-issued member and prescriber communications, as well as sales and marketing materials, to ensure accuracy, regulatory compliance, and consistency with approved clinical and operational standards; identify risks, recommend corrections, and confirm alignment with plan design and applicable state and federal requirements.
Review draft responses to consumer complaints from state and federal regulators to ensure accuracy, regulatory alignment, and consistency with plan requirements; partner with business teams to verify facts, resolve discrepancies, and maintain clear, defensible documentation.
Support market conduct examinations, regulatory audits, and accreditation surveys.
Consult with other subject matter legal and compliance experts, including Litigation, Government Affairs, Privacy, and Compliance.
Required Qualifications:
Actively practicing attorney with 5+ years demonstrated experience in a law firm and/or in-house setting; experience handling healthcare regulatory matters, experience interacting with government regulators or agencies and/or third-party auditors or examiners with respect to healthcare matters
Admitted to practice law in at least one state and in good standing
Ability to travel up to 10% (including by plane)
Preferred Qualifications:
Mastery of problem solving and decision-making skills
Mastery of collaboration and teamwork
Mastery of execution and delivery (planning, delivering, and supporting) skills
Demonstrated ability to interpret federal and state regulatory requirements, including:
Affordable Care Act (ACA)
State insurance and healthcare laws
Federal and state False Claims Acts
Federal and state Anti-Kickback Statutes
Mental Health Parity and Addiction Equity Act (MHPAEA)
Health Insurance Portability and Accountability Act (HIPAA)
Employee Retirement Income Security Act (ERISA)
Willingness to work hybrid (3 days onsite) in IL Chicago offices
Education:
Juris Doctor (JD) required
In-House Counsel Certification (ICC) Preferred
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. 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.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- Actively practicing attorney with 5+ years demonstrated experience in a law firm and/or in-house setting, handling healthcare regulatory matters
- Experience interacting with government regulators, agencies, or third-party auditors/examiners on healthcare matters
- Admitted to practice law in at least one state and in good standing
- Juris Doctor (JD)
- Ability to travel up to 10% (including by plane)
- In-House Counsel Certification (ICC)
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
-
Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
-
Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
-
Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
