Managing Counsel – Head of Legal & Compliance

🕒 il y a 24 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $171 800 - $286 400 / an

⏰ Temps Plein

🔴 Expert

🧑‍⚖️ Directeur Juridique

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The Cigna Group

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1982

⚕️ Assurance santé

💊 Pharmaceutique

Healthcare Insurance • Pharmaceuticals

Le Groupe Cigna est une entreprise mondiale de santé engagée à améliorer la santé et la vitalité de ses clients, assurés et patients. Avec ses deux divisions, Cigna Healthcare et Evernorth Health Services, l'entreprise se concentre sur l'amélioration de la qualité de vie grâce aux services de santé et à la gestion des prestations pharmaceutiques. Le Groupe Cigna est dédié à des pratiques éthiques dans le domaine de la santé et de l'intelligence artificielle, et s'efforce de créer des changements positifs dans le système de santé. Il met également l'accent sur ses responsabilités environnementales, sociales et de gouvernance (ESG), visant à promouvoir l'équité en matière de santé et à stimuler l'innovation dans la prestation de soins de santé.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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