Compliance Enablement Senior Manager

3 weeks ago

Chicago, Illinois, United States CIGNA Full time
Job Summary

The Cigna Group is seeking a highly skilled Compliance Enablement Senior Manager to lead regulatory compliance shared services for Provider Solutions and Operations (PS&O). This individual will manage a team and lead functions that drive regulatory implementation, mitigate compliance risk, and develop business insights for PS&O.

Key Responsibilities
  • Manage and optimize processes designed to intake, assess, and manage the mitigation, remediation, and implementation of new/amended laws and regulatory inquiries, audits, and exams for PS&O.
  • Collaborate with Risk Management, Regulatory Law, Compliance, and Technology partners to understand, document, and recommend solutions.
  • Evaluate business controls and monitor PS&O quality assurance results to identify and act upon emerging risk.
  • Assess regulatory trends and business capabilities for automation opportunities.
  • Drive regulatory research to support operational objectives, consulting with business SMEs to define the issue and coordinate regulatory research through business partner fulfillment.
  • Drive insightful business risk and opportunity analysis. Lead development and delivery of integrated PS&O regulatory/compliance dashboards.
  • Collaborate with leadership on strategy development, working with business leads, sponsors, and matrix partners to ensure appropriate actions taken to prioritize and implement initiatives.
  • Enhance and drive the maturity of the PS&O operational business compliance model to deliver optimum value and engagement.
  • Facilitate strategic conversations to assess and determine regulatory requirements and operational impacts and solutions. Lead and support the identification, removal, or escalation of barriers.
  • Lead cross-functional discussion and decision making, including prioritization and execution approach.
  • Drive collaboration and problem-solving for 'at-risk' deliverables, including organizing and facilitating meetings. Provide recommendations to minimize risk.
  • Escalate conflicts, prioritization issues, and risks to appropriate leadership, as necessary.
  • Lead and participate in internal risk management and compliance programs and projects to ensure scope, timing, and budget are defined, communicated, and executed with appropriate change controls as needed.
Requirements
  • Bachelor's Degree and 5 years of related work experience or 15 years of related business process management.
  • Project Management Professional (PMP) or other recognized PM certification, if no Bachelor's Degree has been obtained.
Preferred Qualifications
  • Experience reading, interpreting, and implementing Regulatory Instructions.
  • Previous experience working with Compliance & Regulatory.
  • Business process design and management experience.
  • Master's Degree is a plus.
Benefits

The Cigna Group offers 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) with company match, company-paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, and paid holidays.

About The Cigna Group

The Cigna Group is 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.

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