Enterprise Compliance Program Management - Senior Advisor jobs in United States
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The Cigna Group · 1 day ago

Enterprise Compliance Program Management - Senior Advisor

The Cigna Group is dedicated to improving health and vitality, and they are seeking a highly motivated Senior Advisor for their Enterprise Regulatory Program Management and Implementation Team. This role involves leading the delivery of compliance-driven programs and projects while providing oversight of the program management discipline, ensuring effective communication and collaboration across various stakeholders.

CommercialHealth CareHospitalInsuranceMedical

Responsibilities

Acts as the liaison between business customers/stakeholders and technology teams, communicating priorities, providing scope and business requirement guidance, and ensuring the teams have the information that they need to successfully deliver according to product vision and goals
Interpret requirements: Translate complex legal and regulatory language into clear, actionable business requirements for various departments to facilitate implementation
Prioritize implementation of requirements based on regulatory or compliance business or marketplace demands
Provide guidance on design and solutioning with focus on balancing efficiency, compliance, and the organization’s commitments
Assess if requirements have been designed and implemented in a compliant manner
Lead and manage delivery of programs against the compliance requirements, with a clear authoritative knowledge on the capabilities required for compliance
Ability to communicate the scope and success criteria for compliance programs for timely delivery to both business and technical resources
Ability to lead all impacted program teams to implement the scope in an end-to-end manner
Manage and report on risks and issues, working to put in place appropriate mitigation measures with business approval
Manage Program financials, including obtaining and validating estimates, documenting and prioritizing change controls, and managing the program budget and run rate
Ability to create tools or templates to aid in the efficient delivery of compliance requirements

Qualification

Regulatory ComplianceBusiness Requirements DocumentationProject ManagementPMP CertificationAgile MethodologyFinancial AcumenHealthcare Industry KnowledgeRelationship ManagementAnalytical SkillsInfluencing SkillsChange ManagementMatrix ManagementMicrosoft Office ProficiencyJira ProficiencyVisio ProficiencyMS Project ProficiencyCommunication SkillsProblem SolvingOrganizational SkillsNegotiation SkillsCollaboration SkillsAdaptabilityDetail OrientedPresentation SkillsSelf-Motivated

Required

Bachelor's Degree in related field required
Experience translating complex regulatory language into clear, actionable business requirements that can be implemented
Experience leading large, complex, cross-functional, cross-organizational projects or programs
Knowledge of and experience in Pharmacy Benefits Management and Healthcare industries required
8+ years of program/project management work experience in regulatory, compliance in health plan or medical is required
Proven success leading large, complex enterprise projects to desired outcomes
Business requirements documentation and transition is needed
Accomplished decision-maker who is able to quickly make and execute well-supported prioritization decisions
Strong business acumen, with proven ability to leverage knowledgebase to adapt to new work quickly
Proficiency in Microsoft Power Point, Excel, SharePoint, Jira, Visio, MS Project in a work environment
Acts as the liaison between business customers/stakeholders and technology teams, communicating priorities, providing scope and business requirement guidance, and ensuring the teams have the information that they need to successfully deliver according to product vision and goals
Interpret requirements: Translate complex legal and regulatory language into clear, actionable business requirements for various departments to facilitate implementation
Prioritize implementation of requirements based on regulatory or compliance business or marketplace demands
Provide guidance on design and solutioning with focus on balancing efficiency, compliance, and the organization's commitments
Assess if requirements have been designed and implemented in a compliant manner
Lead and manage delivery of programs against the compliance requirements, with a clear authoritative knowledge on the capabilities required for compliance
Ability to communicate the scope and success criteria for compliance programs for timely delivery to both business and technical resources
Ability to lead all impacted program teams to implement the scope in an end-to-end manner
Manage and report on risks and issues, working to put in place appropriate mitigation measures with business approval
Manage Program financials, including obtaining and validating estimates, documenting and prioritizing change controls, and managing the program budget and run rate
Ability to create tools or templates to aid in the efficient delivery of compliance requirements
Regulatory New Law requirements decomposition, business process modeling / and assessment/testing
Highly knowledgeable on Cigna and Evernorth processes, products and technologies, test case and validation creation and execution
Strong communication, coordination, collaboration, problem solving and follow up skills
Strong influencing, negotiating and relationship building skills to resolve issues across matrix partners
Track record of solid communication skills – verbal, written, and presentation skills, with multiple stakeholders, at all levels
Strong relationship management skills, including managing the expectations of multiple stakeholders
Comfortable with ambiguity, able to manage with vision and purpose, and drive to a cohesive, collaborative result
Demonstrable analytical and critical thinking skills
Strong organizational skills necessary to accomplish a large number of tasks within a specified timeframe
Demonstrated ability to influence across a matrixed organization and develop trusting working partnerships with internal and external business partners
Self-motivated, detail oriented, and willingness to adapt to tactical needs in a fast-paced, changing environment
Strong problem solving skills
Financial acumen, specifically around return on investment

Preferred

Formal project management training and/or certifications preferred (examples include but not limited to: PMP, Agile, SAFe, Lean Portfolio Mngt, Change Management, Six Sigma)
Advanced Master's Degree in related field preferred

Benefits

Medical
Vision
Dental
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

Company

The Cigna Group

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The Cigna Group is a healthcare firm that focuses on providing hospital services and innovative solutions for better health.

Funding

Current Stage
Late Stage

Leadership Team

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David Cordani
Chairman and Chief Executive Officer
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Michele Berg
CEO Communications
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Company data provided by crunchbase