Pharmacy Team Attorney

Job Details: Level: Experienced;

Job Location:

TRG Head Quarters – La Grange, KY;
Position Type:
Full Time;
Education Level: Juris Doctorate (J.D.);
Salary Range: $ – $ per year;
Job Category:
Legal.

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans. Deployed by over 75 health plans, including many of the top 20, and representing more than 170 million lives, Machinify’s AI operating system untangles healthcare data to deliver industry‑leading speed, quality, and accuracy. We’re reshaping healthcare payment through seamless intelligence.

This position will be hybrid located in our La Grange, KY office.

At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow.

As part of the Pharmacy team, you will provide legal counsel and support for the Coordination of Benefits (COB) Pharmacy operations. This role ensures compliance with federal and state laws, contractual obligations, and regulatory requirements related to pharmacy benefits coordination. The attorney will collaborate with internal teams, external partners, and regulatory agencies to mitigate risk and support business objectives. Familiarity with litigation practice, mediation and settlement negotiations is a plus.

• Identify relevant legal issues that could impact Pharmacy Operations and advise business leaders.
• Provide timely and appropriate legal review and advice for the Pharmacy Operations team, including communication with outside parties to assist in recovery efforts.
• Monitor and interpret applicable laws, regulations, and guidance from CMS, state insurance departments, and other governing bodies.
• Identify potential legal risks and develop strategies to mitigate exposure in Pharmacy operations.
• Provide legal training to Pharmacy staff on compliance obligations and emerging regulatory trends.
• Negotiate with PBM representatives and employer group benefit managers to resolve contested Pharmacy recoveries.
• Manage and oversee litigation or disputes related to Pharmacy, coordinating with outside counsel when necessary.
• Assist Client Success with legal opinions and interpretations to resolve client inquiries, including participation in client or group conference calls.
• Communicate to Pharmacy Operations about new court decisions, statutes, and regulations and explain their effect on file handling.
• Work closely with compliance, operations, and pharmacy benefit management teams to integrate legal considerations into business processes.
• Present at industry and legal conferences to promote understanding of Pharmacy service offerings.

• Juris Doctor (JD) from an accredited law school; active license to practice law in Kentucky as a member in good standing.
• Minimum 3–5 years of legal experience, preferably in healthcare, pharmacy benefits, or insurance law.
• Familiarity with COB processes, pharmacy benefit management, and healthcare regulations (HIPAA, ERISA, CMS guidelines).
• Strong analytical and problem‑solving abilities.
• Excellent written and verbal communication skills; ability to communicate effectively at all levels.
• Willingness to handle disputed settlement negotiations and participate in litigation.
• Ability to manage multiple priorities in a fast‑paced environment.
• Collaborative mindset with attention to detail.
• Working knowledge of Microsoft Office products.

• Have a strong understanding of the role.
• Begin building relationships and collaborating with peers.
• Develop effective time and priority management.
• Receive initial feedback about performance and use it to improve.
• Gain confidence in your abilities and feel more comfortable in your role.

• Master the tasks and responsibilities of the position, executing them with confidence and efficiency.
• Establish a strong network of internal relationships and be recognized as a key collaborator.
• Be entrusted…