Deputy General Counsel, Enterprise and Commercial - FuzeRx

# **Job Summary**At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health's foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. Job Description The Deputy General Counsel, Enterprise and Commercial serves as the primary legal leader and strategic advisor supporting Fuze Health's pharmacy business, FuzeRx. Operating at the center of payor strategy, specialty manufacturer relationships, enterprise commercial transactions, and regulatory risk mitigation, this role is deeply embedded in the company's revenue generation and growth strategy. Unlike traditional contract review roles, this Deputy General Counsel will act as a lead negotiator and strategic architect for enterprise deals. The work is highly commercially sensitive, directly impacting reimbursement economics and revenue protection. The ideal candidate brings a sophisticated understanding of pharmacy operations, unparalleled business judgment, and the leadership capacity to manage interdependent agreements across payors, manufacturers, providers, and enterprise partners.# **Job Description****Key Responsibilities****Strategic Enterprise & Commercial Transactions*** Deal Architecture: Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.* Growth Enablement: Evaluate whether payor positioning supports proposed deal economics, assess margin risk under network limitations, and influence go/no-go decisions for enterprise initiatives based on reimbursement risk modeling.**Strategy & Revenue Protection*** Contract Strategy: Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value-based constructs.* Dispute Leadership: Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery.* Strategic Alignment: Ensure alignment between state reimbursement protection statutes, specialty carve-outs, and vertical-specific addenda.**Specialty Pharmacy & Fertility Vertical Governance*** Fertility Ecosystem: Provide centralized legal oversight across all contractual relationships in the high-revenue, operationally complex fertility vertical.* Benefit Managers & Clinics: Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance (e.g., managing patient steerage risk).* Manufacturer Relations: Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.**Regulatory Compliance & Risk Mitigation*** Regulatory Gatekeeping: Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks.* Fraud & Abuse: Routinely evaluate and mitigate exposure related to the federal Anti-Kickback Statute (AKS), state analogs, patient steerage risk, and referral-based compensation.**Leadership & Operational Oversight*** Team Management: Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high-performance, collaborative legal culture.* Vendor & Logistics Risk: Oversee critical operational agreements, including courier/cold-chain logistics, technology vendors, and performance-based services, particularly where inventory loss or temperature excursions implicate reimbursement exposure.**Required Qualifications & Experience*** Education & Licensure: J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction.* **Experience:**12–14 years of legal experience in healthcare (law firm and in-house experience highly preferred).* **Pharmacy Experience:**Deep subject matter expertise in pharmacy operations and regulatory frameworks.* **Commercial Acumen:** Demonstrated history of operating as a lead negotiator for complex, revenue-impacting enterprise deals within the healthcare ecosystem.* **Subject Matter Knowledge:** Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud-and-abuse laws (AKS, FCA).* **Leadership:** Proven management skills with experience leading attorneys, collaborating across cross-functional executive teams, and driving enterprise-level legal strategy.* **Working Style:** 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.**Additional Physical Job Requirements**Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.*Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health's policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.*This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.**Salary and Benefits**Salary Range: **$250,000 - $275,000**Commission Eligible: NoTravel: Yes - Required up to 10% of the time # **Additional Information**FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: 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 (WA), WisconsinEmployment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. **Benefits:**Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD)#J-18808-Ljbffr

# **Job Summary**At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health's foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. Job Description The Deputy General Counsel, Enterprise and Commercial serves as the primary legal leader and strategic advisor supporting Fuze Health's pharmacy business, FuzeRx. Operating at the center of payor strategy, specialty manufacturer relationships, enterprise commercial transactions, and regulatory risk mitigation, this role is deeply embedded in the company's revenue generation and growth strategy. Unlike traditional contract review roles, this Deputy General Counsel will act as a lead negotiator and strategic architect for enterprise deals. The work is highly commercially sensitive, directly impacting reimbursement economics and revenue protection. The ideal candidate brings a sophisticated understanding of pharmacy operations, unparalleled business judgment, and the leadership capacity to manage interdependent agreements across payors, manufacturers, providers, and enterprise partners.# **Job Description****Key Responsibilities****Strategic Enterprise & Commercial Transactions*** Deal Architecture: Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.* Growth Enablement: Evaluate whether payor positioning supports proposed deal economics, assess margin risk under network limitations, and influence go/no-go decisions for enterprise initiatives based on reimbursement risk modeling.**Strategy & Revenue Protection*** Contract Strategy: Lead negotiations and amendment strategies for Pharmacy Participation Agreements, PBM network contracts, reimbursement schedules, and performance/value-based constructs.* Dispute Leadership: Direct legal strategy for underpayment disputes, audit challenges, appeal strategies, recoupment responses, and contract interpretation disputes to minimize financial exposure and maximize recovery.* Strategic Alignment: Ensure alignment between state reimbursement protection statutes, specialty carve-outs, and vertical-specific addenda.**Specialty Pharmacy & Fertility Vertical Governance*** Fertility Ecosystem: Provide centralized legal oversight across all contractual relationships in the high-revenue, operationally complex fertility vertical.* Benefit Managers & Clinics: Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance (e.g., managing patient steerage risk).* Manufacturer Relations: Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.**Regulatory Compliance & Risk Mitigation*** Regulatory Gatekeeping: Function as the internal strategic gatekeeper, ensuring growth initiatives remain compliant and defensible under state and federal frameworks.* Fraud & Abuse: Routinely evaluate and mitigate exposure related to the federal Anti-Kickback Statute (AKS), state analogs, patient steerage risk, and referral-based compensation.**Leadership & Operational Oversight*** Team Management: Manage, mentor, and develop a dedicated Compliance/PBM Counsel, fostering a high-performance, collaborative legal culture.* Vendor & Logistics Risk: Oversee critical operational agreements, including courier/cold-chain logistics, technology vendors, and performance-based services, particularly where inventory loss or temperature excursions implicate reimbursement exposure.**Required Qualifications & Experience*** Education & Licensure: J.D. from an accredited law school and active license in good standing to practice law in at least one U.S. jurisdiction.* **Experience:**12–14 years of legal experience in healthcare (law firm and in-house experience highly preferred).* **Pharmacy Experience:**Deep subject matter expertise in pharmacy operations and regulatory frameworks.* **Commercial Acumen:** Demonstrated history of operating as a lead negotiator for complex, revenue-impacting enterprise deals within the healthcare ecosystem.* **Subject Matter Knowledge:** Working knowledge of payor/PBM contracting, specialty pharmacy, reimbursement economics, and healthcare fraud-and-abuse laws (AKS, FCA).* **Leadership:** Proven management skills with experience leading attorneys, collaborating across cross-functional executive teams, and driving enterprise-level legal strategy.* **Working Style:** 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.**Additional Physical Job Requirements**Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.*Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health's policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.*This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.**Salary and Benefits**Salary Range: **$250,000 - $275,000**Commission Eligible: NoTravel: Yes - Required up to 10% of the time # **Additional Information**FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: 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 (WA), WisconsinEmployment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. **Benefits:**Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD)#J-18808-Ljbffr

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