Legal Compliance Lead Analyst- Medicaid
Role Summary:
The PBM Medicaid Compliance Lead Analyst is primarily responsible for advising on and evaluating compliance with all regulatory requirements relative to the PBM’s support of its Medicaid clients. This position will also be engaged in various compliance efforts, acting as a subject matter expert (SME) to support business partners and will need to work with a high degree of independence.
The PBM Medicaid Compliance Lead Analyst must be highly organized with keen eye for detail with experience in issue management and process improvement. They must be able to understand business processes and work cross functionally with business owners and Legal. In general, the position is responsible for: (i) monitoring and facilitating closure of compliance issues impacting Medicaid programs, (ii) working with team members and Medicaid business partners to update compliance policies, (iii) working with Medicaid business partners to track and validate Corrective Action Plans, (iv) supporting internal and external audits related to Medicaid requirements, and (v) monitoring compliance with Medicaid requirements.
Responsibilities:
- Ensure compliance with Medicaid rules and regulations;
- Support internal and external audits related to Medicaid requirements;
- Conduct Medicaid compliance monitoring;
- Coordinate and facilitate creation of Corrective Action Plans;
- Review and recommend modifications to Medicaid Policies and Procedures;
- Serve on cross-functional committees as a Medicaid SME;
- Monitor and assist business partners in issue management and resolution; and
- Maintain good working relationships with internal partners to ensure open lines of communication and timely responses to compliance questions.
Qualifications:
- 3-5 years overall experience with healthcare regulatory and compliance matters;
- 2 + years of Medicaid experience;
- 2+ years PBM experience preferred;
- Strong knowledge of Medicaid regulations preferred;
- Strong attention to detail and organization skills required;
- Strong problem solving skills required;
- Strong and confident oral and written communication skills required;
- Proven ability to develop strong working relationships and establish a high level of credibility required;
- Ability to work within a remote team and build relationships with key partners and stakeholders required;
- Ability to work collaboratively with others (and when appropriate influence colleagues in their decision making process) required;
- Ability to manage multiple, competing priorities required.
- Hybrid role- This role will require someone to be in the office a few days a week, fleixabilty to work some days at home.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 68,500 - 114,100 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy 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. For more details on our employee benefits programs, visit Life at Cigna Group.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re 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.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
