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Senior Advisor, Pharmacy & Care Delivery Compliance
The Cigna GroupSenior Advisor for compliance within Evernorth Care Delivery and Pharmacy. Responsible for evaluating compliance and managing audits and reports across regulatory requirements.
About the role
Key responsibilities & impact- Carrying out assigned audit and monitoring programs
- Compliance data reporting and analytics
- Risk management programs
- Oversight for key risk remediation
- Compliance program and policies management
- Investigations for all areas of operation
- Serve as subject matter expert to advise business
- Execute training program strategy and support of business stakeholders
Requirements
What you’ll need- 8+ years of progressive experience in healthcare regulatory compliance
- Licensed Pharmacist or Nurse 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
- Required experience managing HHS OIG General Compliance Program Guidance (GCPG) for a healthcare organization
- Preferred Healthcare Compliance Certification such as CCP or CHC
- Proven ability to lead audits and monitoring activities end-to-end
- Strong analytical, problem-solving, and issue-management skills
- Comfortable operating independently in complex, regulated environments
- Experience partnering with Legal, Compliance, Internal Audit, and operational teams
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
audit programscompliance data reportingrisk managementcompliance program managementinvestigationsfederal healthcare regulationsstate healthcare regulationslocal healthcare regulationsHHS OIG General Compliance Program Guidancehealthcare compliance
Soft Skills
analytical skillsproblem-solving skillsissue-management skillsindependent operationleadershipcommunicationstakeholder support
Certifications
Healthcare Compliance CertificationCCPCHC