Legal Counsel

Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities.

We operate across multiple states and are rapidly expanding a network of rural clinics co-located with pharmacies. Our goal is to deliver scalable, high-quality care while improving access, outcomes, and cost efficiency.

The Legal Counsel will oversee legal, compliance, and regulatory matters across Pharmacy1st Health.

The ideal candidate has strong legal training, sound judgment, and the ability to operate in a fast-moving healthcare company where legal advice must be practical, business-oriented, and grounded in regulatory reality.

This person will support the company across pharmacy operations, clinic operations, acquisitions, payor contracting, corporate governance, compliance, and regulatory strategy. The role requires someone who can identify risks early, manage external counsel effectively, and help build the legal infrastructure needed for a multi-state healthcare platform.

• Advise the company on healthcare regulatory matters affecting pharmacy, clinic, and integrated care operations.

• Support compliance with federal and state healthcare laws, including the Anti-Kickback Statute, Stark Law, HIPAA, Medicare, Medicaid, state pharmacy regulations, and state clinic regulations.

• Help evaluate regulatory requirements for new clinical services, pharmacy programs, payor arrangements, and care delivery models.

• Support the development of company policies, compliance procedures, and internal controls.

• Identify legal and regulatory risks and provide practical recommendations to leadership.

• Advise on legal and regulatory issues related to pharmacy ownership, pharmacy operations, provider relationships, and clinic operations.

• Support licensing, registration, and regulatory filings across multiple states.

• Partner with operations and clinical leadership to ensure new sites and services comply with applicable requirements.

• Support issues involving state boards of pharmacy, medical boards, Medicaid agencies, payors, and other regulators.

• Help structure clinic and pharmacy workflows to be compliant and operationally practical.

• Support legal diligence for pharmacy acquisitions, including licenses, contracts, leases, employment matters, compliance history, payor issues, and regulatory risks.

• Work with external counsel on letters of intent, purchase agreements, lease agreements, transition services, and closing deliverables.

• Help manage transaction timelines, diligence requests, and legal workstreams.

• Identify transaction risks and ensure they are reflected in deal structure, closing conditions, indemnities, or post-closing integration plans.

• Support post-closing legal integration of acquired pharmacies.

• Review and support negotiation of payor contracts, provider participation agreements, value-based care arrangements, vendor contracts, and partnership agreements.

• Advise on legal and regulatory risks in commercial arrangements, including referral relationships, shared savings programs, 340B partnerships, and clinical service contracts.

• Partner with finance, commercial, and clinical teams to ensure contract terms are financially sound, compliant, and executable.

• Maintain organised contract files and help build contract management processes.

• Support HIPAA compliance and privacy policies related to patient data, pharmacy data, clinical records, and payor data.

• Review data sharing arrangements with vendors, payors, providers, and partners.

• Support incident response for privacy or data-related issues.

• Help ensure internal teams understand the appropriate use, access, and disclosure of protected health information.

• Support corporate governance, board materials, entity management, approvals, and internal documentation.

• Help maintain corporate records and support regulatory filings for subsidiaries and operating entities.

• Manage relationships with external counsel and help control legal spend.

• Support employment, real estate, vendor, and general corporate legal matters as needed.

• Help build a scalable legal and compliance function for a high-growth healthcare platform.

• JD from an accredited law school.

• Active license to practice law in at least 1 US jurisdiction.

• 3 to 6 years of legal experience, ideally as an associate at a law firm.

• Experience advising on US healthcare regulatory matters.

• Strong understanding of healthcare compliance issues, including Anti-Kickback Statute, Stark Law, HIPAA, Medicare, Medicaid, and state healthcare regulations.

• Strong contract review, drafting, and negotiation skills.

• Ability to manage multiple legal workstreams in a fast-moving environment.

• Practical judgment and ability to balance legal risk with business execution.

• Strong written and verbal communication skills.

• High ownership mindset and attention to detail.

• Experience advising pharmacies, clinics, healthcare services companies, payors, health systems, or provider groups.