[Hiring] Deputy General Counsel, Enterprise and Commercial @Fuze Health

Role 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.

Key Responsibilities

• Strategic Enterprise & Commercial Transactions
  • Architect and negotiate enterprise-level partnerships that combine pharmacy dispensing, hub services, data/reporting, telehealth integration, and multi-state fulfillment.
  • 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
  • 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.
• Specialty Pharmacy & Fertility Vertical Governance
  • Provide centralized legal oversight across all contractual relationships in the high-revenue, operationally complex fertility vertical.
  • Negotiate participation agreements, SLA structuring, and services agreements while balancing reimbursement economics, patient access, and compliance (e.g., managing patient steerage risk).
  • Oversee specialty pharmacy agreements, direct purchase agreements, Limited Distribution Drug (LDD) participation, HUB services, and prescription digital therapeutic (PDTx) distribution.
• Regulatory Compliance & Risk Mitigation
  • 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.
• Leadership & Operational Oversight
  • 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, particularly where inventory loss or temperature excursions implicate reimbursement exposure.

Qualifications

• 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.

Requirements

• Ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time.
• Ability to stoop, bend, and reach for equipment and supplies.
• Ability to make frequent repetitive motions required to operate a computer.
• Ability to lift, carry, push, pull, and move light objects up to 20 pounds.
• Ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.
• Occasional travel required, including the ability to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports, and adjust to different time zones and climates.

Benefits

• Dental, vision, and multiple group medical plans to choose from.
• 401(k) retirement savings plan.
• Group life insurance and accidental death and dismemberment (AD&D) insurance.
• Flexible spending account (FSA) and health savings account (HSA).
• Commuter benefits.
• Employer-paid short-term (STD) and long-term disability (LTD) insurance.
• Flexible vacation time and accrued paid sick time.
• 10 paid holidays and 2 floating holidays for full-time non-exempt employees.
• Eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, and 4 weeks paid caregiver leave.
• Monthly Lifestyle Spending Account allowance.