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Legal Compliance Advisor, Individual Dental Operations

Job not on LinkedIn

🔥 2 minutes ago

🍂 Massachusetts – Remote

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đź’µ $96.2k - $160.4k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🧑‍💼 Attorney / Lawyer

đź‘» Ghost score 0%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

đź“‹ Description

• Monitor federal and state regulatory requirements impacting the Individual Dental business • Assess new and evolving regulatory requirements and determine operational, product, process, and customer impacts • Coordinate regulatory implementation activities, timelines, deliverables, and stakeholder engagement • Maintain regulatory assessments, implementation decisions, compliance documentation, inventories, process documentation, and evidence repositories • Monitor implementation progress and escalate risks, issues, or barriers • Identify and evaluate regulatory risks and support mitigation strategies and corrective action plans • Track compliance risks, issues, remediation activities, examination findings, recommendations, and corrective actions through resolution • Support governance and maintenance of Product Availability Grids and other regulatory reference materials • Validate alignment between regulatory requirements, filed products, operational processes, and business documentation • Support audits, regulatory examinations, compliance reviews, and regulatory inquiries • Provide regulatory compliance guidance and consultation to Individual Dental operations and business partners • Facilitate collaboration across Operations, Product, Compliance, Legal, Quality, Technology, and vendor organizations • Identify process, workflow, control, and documentation improvements • Conduct root cause analysis and recommend sustainable corrective actions • Support development and implementation of compliance processes and governance structures • Communicate regulatory risks, trends, and emerging concerns to leadership and business partners

🎯 Requirements

• Bachelor's Degree required; equivalent experience may be considered • 5+ years of experience in regulatory compliance, healthcare operations, insurance operations, legal compliance, risk management, governance, audit, or related disciplines • Working knowledge of federal and state regulatory requirements within healthcare, insurance, or other regulated industries • Experience supporting regulatory implementation, compliance programs, audits, examinations, or governance activities • Ability to coordinate complex cross-functional initiatives and drive execution through matrixed organizations • Strong analytical and problem-solving skills with the ability to assess regulatory impacts and operational risks • Experience developing, maintaining, and managing compliance documentation and evidence • Excellent written, verbal, presentation, and stakeholder management skills • Ability to manage multiple priorities in a dynamic, fast-paced environment • Experience with regulatory tracking, risk management, governance, or compliance management systems preferred • Healthcare, dental, insurance, or regulated industry experience strongly preferred • Ability to work from home with cable broadband or fiber optic internet service of at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Cable broadband or fiber optic internet service required for home working, with at least 10Mbps download/5Mbps upload

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