Legal Compliance Senior Director

Company: Cigna Health and Life Insurance Company
Location: Saint Louis
Posted on: May 26, 2023

Job Description:

Legal Compliance Senior Director page is loaded Legal Compliance Senior Director Apply remote type Hybrid locations St. Louis, MO CT, Bloomfield, 900 Cottage Grove Rd - MetLife Bldg TN, Nashville, 530 Great Circle Rd Morris Plains, NJ PA, Pittsburgh, 603 Stanwix St Two Gateway Center, STE 1640, 16th Floor time type Full time posted on Posted Yesterday job requisition id 23005428 Job Purpose/Description The Senior Director- Express Scripts Medicare Compliance Officer, reporting directly to the Managing Director - Evernorth Benefits Management Compliance Officer, is responsible for the development, implementation, administration, and oversight of the Medicare Part D Compliance Program for the Express Scripts Pharmaceutical Benefit Manager (PBM). The Express Scripts Medicare Compliance Officer will partner closely with cross-functional leaders across the organization to identify and mitigate compliance risks. The Express Scripts Medicare Compliance Officer will serve as the key compliance resource for Medicare Part D. Candidates must be highly organized with the ability to effectively interact with various audiences including internal partners, health plan clients, as well as federal and state regulators. Key Duties and Responsibilities

• Maintaining open lines of communication with Chief Compliance Officer and Managing Director- Evernorth Benefits Management regarding Medicare Compliance Program matters.
• Leading a team of compliance professionals responsible for assisting in the oversight and administration of the Medicare Part D Compliance Program.
• Partnering closely with leaders across the Cigna enterprise including Legal, Government Affairs, Enterprise Risk Management, Operations and Internal Audit.
• Serving as Chair of the Express Scripts Medicare Compliance Committee.
• Developing and maintaining a comprehensive Medicare Compliance work plan in coordination with overall Compliance Department work plans.
• Developing and maintaining comprehensive auditing and monitoring plans.
• Maintaining the Express Scripts Medicare Compliance Plan Summary.
• Coordinating the annual Medicare Part D Risk Assessment.
• Collaborating with Internal Audit on development of the annual audit plan.
• Managing the oversight of first tier, downstream and related (FDR) entities.
• Responding to compliance concerns posed by regulators, clients and cross-functional partners.
• Reviewing, understanding and providing guidance, in conjunction with ESI attorneys, on Medicare Part D related regulations and sub-regulatory guidance. Qualifications
  • Bachelor's degree in related field or 12+ years overall experience -
  • Minimum of 6-10 years of experience in Medicare Part D or other relevant experience in regulatory oversight, auditing, monitoring and general compliance matters.
  • Strong background in Medicare Part D or other regulatory compliance programs.
  • Ability to read, analyze, and interpret governmental regulation and legal documents.
  • Strong organizational skills with great attention to detail.
  • Team leadership and management experience.
  • Excellent oral and written communication skills.
  • *This role will require someone to go into an office, this will be a hybrid role.
    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.About The Cigna GroupDoing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives.At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.Join us in driving growth and improving lives.

Keywords: Cigna Health and Life Insurance Company, St. Louis , Legal Compliance Senior Director, Executive , Saint Louis, Missouri