Deputy General Counsel, Enterprise and Commercial - FuzeRx

Deputy General Counsel, Enterprise and Commercial The Deputy General Counsel is the primary legal leader and strategic advisor supporting Fuze Health's pharmacy business, FuzeRx. The role is deeply embedded in the company's revenue generation and growth strategy, acting as a lead negotiator and strategic architect for enterprise deals.Key Responsibilities Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.Evaluate payor positioning to support proposed deal economics, assess margin risk under network limitations, and influence go/no‑go decisions for enterprise initiatives based on reimbursement risk modeling.Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value‑based constructs.Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery.Ensure alignment between state reimbursement protection statutes, specialty carve‑outs, and vertical‑specific addenda.Provide centralized legal oversight across all contractual relationships in the fertility vertical: Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance.Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks.Routinely evaluate and mitigate exposure related to the federal Anti‑Kickback Statute (AKS), state analogs, patient steerage risk, and referral‑based compensation.Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high‑performance, collaborative legal culture.Oversee critical operational agreements, including courier/cold‑chain logistics, technology vendors, and performance‑based services where inventory loss or temperature excursions implicate reimbursement exposure.Required Qualifications & Experience J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction.12–14 years of legal experience in healthcare (law firm and in‑house experience highly preferred).Deep subject matter expertise in pharmacy operations and regulatory frameworks.Demonstrated history of operating as a lead negotiator for complex, revenue‑impacting enterprise deals within the healthcare ecosystem.Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud‑and‑abuse laws (AKS, FCA).Proven management skills with experience leading attorneys, collaborating across cross‑functional executive teams, and driving enterprise‑level legal strategy.Exceptional communication and judgment, with the ability to provide rapid‑turn analysis on reimbursement‑dependent deals and assess strategic risk beyond black‑letter contract issues.Physical Job Requirements The role requires working at a computer terminal for extended periods, stooping, bending, reaching, repetitive computer motions, and lifting light objects up to 20 pounds. Travel up to 10% of the time, including extended periods on airplanes or vehicles, and adjusting to different time zones and climates.Salary and Benefits Salary Range: $250,000 – $275,000. Commission Eligible: No.dental, vision, and multiple group medical plans to choose from401(k) retirement savings plangroup life insuranceaccidental death and dismemberment (AD&D) insuranceflexible spending account (FSA) and health savings account (HSA)commuter benefitsemployer‑paid short‑term (STD) and long‑term disability (LTD) insuranceadditional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)flexible vacation timeaccrued paid sick time10 paid holidays (2 floating holidays for full‑time non‑exempt employees)8 weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leaveLifestyle Spending Account allowance each monthAdditional Information FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, Wisconsin.Applicants must be authorized to work for any employer in the U.S.Equal Opportunity & Disability Accommodation Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com.Background Check & Privacy We consider qualified applicants with arrest or conviction records for employment and conduct background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E‑Verify participating company.#J-18808-Ljbffr

Deputy General Counsel, Enterprise and Commercial The Deputy General Counsel is the primary legal leader and strategic advisor supporting Fuze Health's pharmacy business, FuzeRx. The role is deeply embedded in the company's revenue generation and growth strategy, acting as a lead negotiator and strategic architect for enterprise deals.Key Responsibilities Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.Evaluate payor positioning to support proposed deal economics, assess margin risk under network limitations, and influence go/no‑go decisions for enterprise initiatives based on reimbursement risk modeling.Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value‑based constructs.Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery.Ensure alignment between state reimbursement protection statutes, specialty carve‑outs, and vertical‑specific addenda.Provide centralized legal oversight across all contractual relationships in the fertility vertical: Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance.Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks.Routinely evaluate and mitigate exposure related to the federal Anti‑Kickback Statute (AKS), state analogs, patient steerage risk, and referral‑based compensation.Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high‑performance, collaborative legal culture.Oversee critical operational agreements, including courier/cold‑chain logistics, technology vendors, and performance‑based services where inventory loss or temperature excursions implicate reimbursement exposure.Required Qualifications & Experience J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction.12–14 years of legal experience in healthcare (law firm and in‑house experience highly preferred).Deep subject matter expertise in pharmacy operations and regulatory frameworks.Demonstrated history of operating as a lead negotiator for complex, revenue‑impacting enterprise deals within the healthcare ecosystem.Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud‑and‑abuse laws (AKS, FCA).Proven management skills with experience leading attorneys, collaborating across cross‑functional executive teams, and driving enterprise‑level legal strategy.Exceptional communication and judgment, with the ability to provide rapid‑turn analysis on reimbursement‑dependent deals and assess strategic risk beyond black‑letter contract issues.Physical Job Requirements The role requires working at a computer terminal for extended periods, stooping, bending, reaching, repetitive computer motions, and lifting light objects up to 20 pounds. Travel up to 10% of the time, including extended periods on airplanes or vehicles, and adjusting to different time zones and climates.Salary and Benefits Salary Range: $250,000 – $275,000. Commission Eligible: No.dental, vision, and multiple group medical plans to choose from401(k) retirement savings plangroup life insuranceaccidental death and dismemberment (AD&D) insuranceflexible spending account (FSA) and health savings account (HSA)commuter benefitsemployer‑paid short‑term (STD) and long‑term disability (LTD) insuranceadditional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)flexible vacation timeaccrued paid sick time10 paid holidays (2 floating holidays for full‑time non‑exempt employees)8 weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leaveLifestyle Spending Account allowance each monthAdditional Information FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, Wisconsin.Applicants must be authorized to work for any employer in the U.S.Equal Opportunity & Disability Accommodation Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com.Background Check & Privacy We consider qualified applicants with arrest or conviction records for employment and conduct background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E‑Verify participating company.#J-18808-Ljbffr

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