Vice President, Head of Legal & Compliance

🔥 0 minutes ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $171.8k - $286.4k / year

⏰ Full Time

🔴 Lead

🧑‍⚖️ General Counsel

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 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.

🎯 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, 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