Vice President, Head of Legal & Compliance

🕒 5 dias atrás

❄️ Minnesota – Remoto

❄️ Minnesota – Remote

💵 $171.800 - $286.400 / ano

⏰ Tempo Integral

🔴 Especialista

🧑‍⚖️ Consultor Jurídico / Conselheiro Geral

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The Cigna Group

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1982

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare Insurance • Pharmaceuticals

O Grupo Cigna é uma empresa global de saúde comprometida em melhorar a saúde e vitalidade de seus clientes, consumidores e pacientes. Com suas duas divisões, Cigna Healthcare e Evernorth Health Services, a empresa foca em melhorar a qualidade de vida através de serviços de saúde e gestão de benefícios farmacêuticos. O Grupo Cigna é dedicado a práticas éticas em saúde e inteligência artificial, e se esforça para criar mudanças positivas no sistema de saúde. Também enfatiza suas responsabilidades Ambientais, Sociais e de Governança (ESG), visando impactar a equidade em saúde e promover a inovação na prestação de serviços de saúde.

Descrição

• Serves as the senior-most legal and compliance leader for the Allegiance business, acting as a trusted advisor to executive leadership and a key member of the executive team. • Partners with Cigna legal counsel and enterprise leadership to proactively manage legal, regulatory, contractual, and enterprise risk matters enabling strategic objectives while protecting the organization’s reputation and fiduciary obligations. • Demonstrates executive professionalism, sound judgment, and discretion in all interactions with employees, clients, regulators, vendors, and the public, and serves as a visible role model for the Company. • Provide strategic, practical legal counsel to senior leadership across business lines, balancing risk with business priorities. • Lead legal and regulatory support, including monitoring developments and serving as a key liaison with regulators and external partners. • Oversee outside counsel engagement, performance, and spend to ensure effective and cost-efficient legal services. • Provide legal and compliance guidance across core functions, including sales, client onboarding, RFPs, contracting, and operations. • Review, draft, and negotiate complex agreements (e.g., vendor, provider, BAAs, licensing) and establish contracting standards. • Support corporate governance and entity management activities, including filings and documentation. • Oversee regulatory inquiries, complaints, and data requests, ensuring accurate and timely responses. • Provide legal oversight for key operational areas (e.g., appeals, subrogation, overpayments, Medicare secondary payer matters). • Partner with business leaders to resolve escalated client issues and ensure compliant, risk-aligned outcomes. • Lead and enhance the compliance program, including HIPAA Privacy and Security, training, monitoring, investigations, and incident response. • Support accreditation and audit readiness efforts (e.g., URAC) and policy governance. • Lead and develop Legal and Compliance team members, including direct oversight of the Compliance Director.

🎯 Requisitos

• JD required • 10+ years of progressive legal experience, with significant experience within a TPA, health plan, or highly regulated healthcare environment required • Direct TPA experience strongly preferred, with demonstrated understanding of operations, regulatory requirements, and client-facing dynamics • Proven experience leading and developing teams, including ability to coach, influence, and drive performance • Demonstrated executive presence, with ability to effectively engage, influence, and advise senior leadership and external stakeholders • Strong knowledge of applicable laws and regulations (e.g., ERISA, HIPAA, insurance/TPA operations, contracting, employment law) • Experience supporting or leading compliance programs, including policy development, training, monitoring, and investigations • Exceptional judgment and ability to provide practical, risk-based legal guidance in a complex environment • Strong analytical, drafting, and negotiation skills • Ability to manage competing priorities and operate effectively in a fast-paced, evolving environment • High level of professionalism, discretion, and ability to handle sensitive matters.

🏖️ Benefícios

• medical, vision, dental, and well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays