The Cigna Group

Senior Compliance Advisor, Care Delivery & Pharmacy

The Cigna Group

full-time

Posted on:

Location Type: Hybrid

Location: St. Louis • Montana • United States

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Salary

💰 $109,600 - $182,600 per year

Job Level

Senior

About the role

  • Complete an established number of audits and monitoring per quarter for Care Delivery and Pharmacy;
  • Manage the Prompt Response and Corrective Action Program;
  • Lead committee meetings for various compliance elements with business stakeholders and committee members;
  • Coordination and development of auditing and monitoring plans focusing on areas of Compliance risk;
  • Creation of dashboards and status updates which communicate audit and monitoring results, trends, and summarize risk remediation activity;
  • Deliver executive summary compliance reports and applicable findings to business stakeholders;
  • Serve as subject matter expert to advise business in areas including, but not limited to care delivery, pharmacy, nursing, drug distribution, and associated regulatory requirements;
  • Ensure the highest level of compliance with all Federal, State, and local rules and regulations;
  • Lead, participate and facilitate accessible knowledge and guidance for business stakeholders including Compliance committees and other delivery mechanisms as needed;
  • Execute training program strategy and support of business stakeholders on applicable Compliance topics;
  • Research and respond to compliance questions in consultation with Legal and Compliance stakeholders;
  • Collaborates with internal partners and develops good working relationships to ensure open lines of communication and timely responses to compliance questions;
  • Update, revise, and maintain applicable departmental policies and procedures, and support the review of policies and documents for supported business units;
  • Support business partners in issue management and resolution;
  • Remain aware of industry changes and/or trends;
  • Complete annual compliance program effectiveness assessments.

Requirements

  • 8+ years overall experience with healthcare regulatory and compliance matters
  • 3+ years of Care Delivery, Pharmacy, Nursing, or Drug Distribution experience preferred
  • Bachelor’s degree required
  • Pharmacist, Nurse, Licensed Healthcare Professional, or JD required
  • Demonstrated ability to interpret and apply federal, state, and local healthcare regulations
  • Strong analytical, problem-solving, and issue management skills
  • Proven ability to communicate clearly and confidently with business and executive stakeholders
  • Self-directed, detail-oriented, and able to work independently in a fast-paced environment
  • Ability to manage multiple, competing priorities while maintaining accuracy and accountability
  • Strong collaborator with the ability to build effective relationships across Compliance, Legal, and business teams
Benefits
  • medical
  • vision
  • dental
  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
auditingmonitoringcompliance risk assessmentdashboard creationexecutive summary reportingtraining program developmentissue managementregulatory interpretationpolicy revisioneffectiveness assessment
Soft Skills
analytical skillsproblem-solvingcommunicationself-directeddetail-orientedindependent worktime managementcollaborationrelationship buildingstakeholder engagement
Certifications
PharmacistNurseLicensed Healthcare ProfessionalJD