Profile

Rachel Alexander is a partner in the Health Care Practice at Wiley where she counsels clients on regulatory, transactional, and litigation matters involving managed care with an emphasis on advising health plans and third-party administrators on drug pricing, Pharmacy Benefit Manager (PBM) contracting and dispute resolution, and general pharmacy benefit administration for commercial and government health care programs (e.g., Medicare, Medicaid, and the Federal Employees Health Benefits Program).

Prior to entering the legal profession, Rachel spent over a decade in health care administration, primarily in contract negotiations and administration, working for industry-leading managed care organizations and providers. Rachel’s expertise with both health plan operations and health care law allows her to rapidly respond and nimbly navigate clients through complex and factually intense matters involving regulatory compliance; contract negotiation, administration, and procurement matters; internal and governmental investigations; and managed care related litigation.

Rachel and her team have been repeatedly recognized by clients and pharmacy consultants for their national expertise and innovative approaches to PBM contracting, PBM audits, and PBM – Plan dispute resolution and litigation.

Experience

Representative Matters

  • Provides legal counseling on all aspects of the managed care industry.
  • Provides legal guidance on Medicare Part D/Medicare Advantage, Medicaid Managed Care, and FEHBP.
  • Annually, drafts and negotiates to conclusion more than a dozen Pharmacy Benefit Manager (PBM) contracts for managed care plans of all sizes and drug spends.
  • Advises clients on contentious issues of provider and PBM contract administration and dispute resolution.
  • Advises and defends health plans administering government health care programs with regard to government audits, investigations, and actions including False Claims Act (FCA) and Anti-Kickback issues.
  • Directs and manages all phases of litigation and discovery.

Professional Experience

Affiliations

  • Board of Trustees, Washington Ethical Society (2015-2019)
  • Women’s Bar Association of the District of Columbia (WBA)
    • Co-Chair, Health Law Forum (2013-2014)
    • Co-Chair, Insurance Law Forum (2012-2013)
  • Women in Law Empowerment Forum (WILEF)
    • Co-Chair, WILEF DC (2015-2017)
    • Global Advisory Board (2015-2017)

Credentials

Education

J.D., magna cum laude, The George Washington University Law School

B.A., Rutgers College, Rutgers University

Bar and Court Memberships

  • District of Columbia Bar
  • Maryland Bar

By using this site, you agree to our updated Privacy PolicyTerms & Conditions, and Cookies Policy.

Necessary Cookies

Necessary cookies enable core functionality such as security, network management, and accessibility. You may disable these by changing your browser settings, but this may affect how the website functions.

Analytical Cookies

Analytical cookies help us improve our website by collecting and reporting information on its usage. We access and process information from these cookies at an aggregate level.