Senior Advisor, Pharmacy & Care Delivery Compliance

The Cigna Group

Senior Advisor responsible for evaluating compliance with healthcare regulations and oversight. Engaging in various compliance efforts in healthcare delivery and pharmacy operations.

Posted 5/8/2026full-timeWORK AT HOME • Tennessee • 🇺🇸 United StatesSenior💰 $109,600 - $182,600 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

8+ years of progressive experience in healthcare regulatory compliance, with demonstrated ownership of audit and monitoring programs, issue management, and corrective action/remediation activities
Licensed Pharmacist or Nurse must be a licensed healthcare professional, or JD with substantial experience supporting pharmacy, care delivery, or drug distribution compliance
Hands‑on experience interpreting and applying federal, state, and local healthcare regulations, particularly related to pharmacy operations, controlled substances/DEA requirements, care delivery, home infusion, or drug distribution
Proven ability to lead audits and monitoring activities end‑to‑end, including risk identification, findings documentation, root‑cause analysis, and remediation tracking
Experience advising business stakeholders and leaders on regulatory risk, compliance requirements, and mitigation strategies
Strong analytical, problem‑solving, and issue‑management skills, with the ability to translate complex regulatory requirements into practical guidance
Comfortable operating independently in complex, regulated environments, managing multiple priorities while maintaining accuracy and accountability
Experience partnering with Legal, Compliance, Internal Audit, and operational teams to support investigations, regulatory inquiries, or remediation efforts
Ability to produce clear, concise compliance reporting, including dashboards, trend analysis, and executive‑level summaries

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

audit programsmonitoring programsrisk identificationfindings documentationroot-cause analysisremediation trackingcompliance reportingtrend analysisdashboard creationissue management

Soft Skills

analytical skillsproblem-solving skillscommunication skillsleadershipcollaborationindependenceaccountabilityorganizational skillstraining program executionstakeholder engagement

Certifications

Licensed PharmacistLicensed NurseJD (Juris Doctor)