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The Cigna Group

Vice President, Head of Legal & Compliance – Allegiance

The Cigna Group

7d ago

0$172k - $286kManagementUnited Stateshimalayas
Legal-LeadershipCompliance-LeadershipChief-Legal-OfficerHealthcare-Legal-CounselRegulatory-AffairsHead-Of-Legal-&-ComplianceVice-President-LegalVice-President-General-CounselVP-ComplianceExecutive

Job 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 prioritiesLead legal and regulatory support, including monitoring developments and serving as a key liaison with regulators and external partnersOversee outside counsel engagement, performance, and spend to ensure effective and cost-efficient legal servicesProvide legal and compliance guidance across core functions, including sales, client onboarding, RFPs, contracting, and operationsReview, draft, and negotiate complex agreements (e.g., vendor, provider, BAAs, licensing) and establish contracting standardsSupport corporate governance and entity management activities, including filings and documentationOversee regulatory inquiries, complaints, and data requests, ensuring accurate and timely responsesProvide 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 outcomesLead and enhance the compliance program, including HIPAA Privacy and Security, training, monitoring, investigations, and incident responseSupport accreditation and audit readiness efforts (e.g., URAC) and policy governanceLead and develop Legal and Compliance team members, including direct oversight of the Compliance DirectorQualifications, Skills & Capabilities:JD required10+ years of progressive legal experience, with significant experience within a TPA, health plan, or highly regulated healthcare environment requiredDirect TPA experience strongly preferred, with demonstrated understanding of operations, regulatory requirements, and client-facing dynamicsProven experience leading and developing teams, including ability to coach, influence, and drive performanceDemonstrated executive presence, with ability to effectively engage, influence, and advise senior leadership and external stakeholdersStrong 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 investigationsExceptional judgment and ability to provide practical, risk-based legal guidance in a complex environmentStrong analytical, drafting, and negotiation skillsAbility to manage competing priorities and operate effectively in a fast-paced, evolving environmentHigh level of professionalism, discretion, and ability to handle sensitive mattersThis is a remote role with periodic travel expected (monthly and quarterly) for team meetings, leadership engagement, and key business needs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 171,800 - 286,400 USD / yearly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familia