Senior Commercial & Healthcare Regulatory Counsel

About this role

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 Commercial & Healthcare Regulatory Counsel is a hands-on attorney focused on commercial and vendor contracting with regulatory issue‑spotting. The role supports the Privacy, Compliance, Pharmacy Benefits Management and Operations teams to enable fast, compliant deals as the company scales integrated pharmacy and healthcare services under the Fuze Health (and FuzeRx) brands. The ideal candidate will have experience with pharmacy or PBM contracting and compliance matters. 

This is a hands-on role suited for a versatile attorney who enjoys building repeatable processes and enabling speed-to-contract without owning enterprise legal strategy or department leadership. Complex or novel matters will be escalated to the Senior Counsel and/or specialized outside counsel .   

Key Responsibilities: Commercial Contracting •   Draft, review, and negotiate commercial agreements, including pharmacy services agreements, PBM network participation agreements, payer/client agreements, specialty pharmacy arrangements, data sharing agreements, BAAs/DPAs, SaaS and technology agreements, licensing agreements, MSAs, and SOWs, using playbooks and clause libraries.

• Manage redlines, issues lists, internal alignment, and approval workflows through execution; memorialize deviations and approvals.

• Maintain and improve templates, clause libraries, and playbooks to reduce cycle time and drive consistency.  

Healthcare Regulatory Support • Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, and FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy laws, pharmacist professional licensing, PBM network participation rules, and HIPAA/HITECH.

• Conduct targeted research, prepare summaries, and assist with regulatory analyses and alerts; coordinate with Compliance to ensure ownership and accountability across healthcare and pharmacy regulatory domains.

• Partner with outside counsel on complex or novel regulatory questions; help implement recommendations.

Privacy & Data Protection Support • Support the Privacy team on HIPAA and data protection matters, including incident response, breach investigations, and privacy compliance activities.

• Assist with drafting and negotiating privacy and security provisions in client and vendor agreements, including BAAs, DPAs, and security addenda.

• Partner with internal stakeholders to identify and remediate data handling risks; encourage privacy-by-design practices.

Vendor & Procurement Contracting • Draft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments, including vendors that support pharmacy operations, PBM services, patient support, data exchange, and related healthcare services.

• Partner with Procurement, Finance, Security/IT, Privacy, and Compliance on intake, diligence, and approvals (e.g., security questionnaires, BAAs/DPAs, SOC 2/ISO documents, COIs).

• Negotiate and document SLAs, support/uptime, data handling/retention, audit rights, business continuity, termination/transition assistance, and fee/charge guardrails.

Cross-Functional Collaboration & Legal Ops • Provide timely, business-oriented legal advice to Commercial, Partnerships, and Operations teams.

• Contribute to process improvements (e.g., workflow design, contract lifecycle management, playbook refinements, dashboards) that scale the legal function.

• Support communications and marketing review for external messaging, disclosures, and public statements.

Compliance & Risk Support • Collaborate with Compliance on training materials, audits, and corrective actions.

• Support Compliance with PBM audits by researching and advising on state pharmacy and PBM laws and reviewing PBM contractual requirements. 

• Assist with risk assessments, internal inquiries, and remediation planning as needed.

Required Experience & Qualifications: Qualifications • J.D. from an accredited law school and active license to practice law in at least one U.S. jurisdiction.

• 8–10 years of legal experience (law firm and/or in-house) in pharmacy, PBM, healthcare, or digital health; strong candidates with 5+ years will be considered.

• Demonstrated experience drafting and negotiating commercial and technology agreements.

• Experience with vendor/procurement contracting and third‑party risk management (e.g., SaaS/IT, SOWs, SLAs, security addenda, BAAs/DPAs).

• Working knowledge of healthcare regulatory frameworks (e.g., AKS, HIPAA, FDA, DEA, PBM, state pharmacy laws) with a willingness to deepen expertise and collaborate with specialists.

• Excellent communication, judgment, and organizational skills with a practical, business-minded approach.

• Ability to thrive in a fast-paced, evolving organization and manage mu

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