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Vice President, Head of Legal & Compliance

🔥 2 hours ago

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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.

📋 Description

• Serve as the senior-most legal and compliance leader for the Allegiance business • 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

🎯 Requirements

• 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.

🏖️ Benefits

• medical • vision • dental • 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

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