Job Description

Corporate Enterprise Investigations Counsel- Hybrid We are looking for an experienced attorney skilled in compliance investigations to be part of the Legal Department’s Enterprise Investigations unit. Our team of seven internal investigators is responsible for assessing and investigating reports and allegations of healthcare fraud (including False Claims Act, Anti-Kickback statutes, and Stark Law), conflicts of interest, theft and fraudulent schemes, contract and procurement concerns, data privacy issues, discrimination, harassment, failure to report or escalate, and other inappropriate behavior. Working within Cigna’s Legal Department, our internal investigators frequently partner with, and act under the supervision and direction of counsel. They are responsible for cultivating a culture that emphasizes integrity, and a working atmosphere that promotes open and candid discussions regarding ethics or compliance concerns; acceptance of responsibility for actions taken; effective oversight; and operational transparency with key stakeholders Specific Duties Include Manage a case list comprised of complex compliance, ethics, and employment investigations, including conducting case intake meetings, background research, interviews, and stakeholder debrief meetings; Assist with the review, analysis, and resolution of reports received through Cigna’s Ethics Help Line and other channels, including complaints involving allegations of fraud, corruption, privacy concerns, conflicts of interest, discrimination, harassment, retaliation, failure to escalate, and other inappropriate behavior; Ensure that compliance and ethics inquiries, and reports of alleged employee misconduct are promptly assessed, responded to, timely and thoroughly investigated, and resolved; Partner with Cigna's team of e-discovery and forensic investigators to identify, preserve, and obtain relevant documents and data; Conduct internal investigations, to include reviewing relevant documents, communications and data, and conducting interviews of relevant individuals, including privileged internal investigations conducted under the supervision and direction of in-house and/or outside counsel; Ensure that investigative actions, files, findings, and outcomes are thoroughly and timely documented, memorialized, accurate and complete; prepare reports of interviews and other investigative reports; and ensure that findings and conclusions from internal investigations are timely and effectively communicated to relevant stakeholders; Collaborate with Human Resources and Employee Relations on any employment actions arising from internal investigations; In collaboration with partners in Enterprise Compliance and the relevant business segment, conduct root cause analyses and determine whether any remedial or corrective actions may be appropriate, and whether matters and/or findings or conclusions should be disclosed to federal and/or state agencies; Ensure that appropriate policies and procedures, and training and education programs, are adopted as warranted by findings in internal investigations. Foster a culture of integrity, accountability, and compliance within the organization. Qualifications Juris Doctorate from an ABA accredited law school required; Experience 5-8 years conducting and managing complex investigations, preferably in a large, matrixed healthcare company or other corporate investigations function. Ability to prioritize and act with urgency when appropriate Being part of a team in a manner that enables a collaborative, respectful, and inclusive environment; Strong people skills, including effective interviewing skills, and outstanding oral and written communications skills; A comfort level with the laws and regulations that apply to The Cigna Group’s businesses; Ability to review and analyze a complex set of facts, documents, or data, and an ability to identify, distill, and present the most relevant material; Ability to evaluate complex issues and make appropriate recommendations to senior leaders; A demonstrated commitment to integrity, compliance, and ethical decision making; Consistently sound judgment and incisive analytical abilities; Ability to present or explain complex issues clearly and succinctly; Demonstrated ability to perform effectively and collegially as part of a cross-disciplinary team in a fast-paced environment; Ability to prioritize – and to reassess priorities as necessary – to ensure that internal and external expectations are fulfilled; Attention to detail and an ability to compile and analyze regulatory and business information, and to develop and provide recommendations for process improvement. Demonstrated ability to work collaboratively with cross-functional teams; Willingness to travel occasionally. *This role is Hybrid and is 3 days in office. We are looking for an experienced attorney skilled in compliance investigations to be part of the Legal Department’s Enterprise Investigations unit. Our team of seven internal investigators is responsible for assessing and investigating reports and allegations of healthcare fraud (including False Claims Act, Anti-Kickback statutes, and Stark Law), conflicts of interest, theft and fraudulent schemes, contract and procurement concerns, data privacy issues, discrimination, harassment, failure to report or escalate, and other inappropriate behavior. Working within Cigna’s Legal Department, our internal investigators frequently partner with, and act under the supervision and direction of counsel. They are responsible for cultivating a culture that emphasizes integrity, and a working atmosphere that promotes open and candid discussions regarding ethics or compliance concerns; acceptance of responsibility for actions taken; effective oversight; and operational transparency with key stakeholders Specific Duties Include Manage a case list comprised of complex compliance, ethics, and employment investigations, including conducting case intake meetings, background research, interviews, and stakeholder debrief meetings; Assist with the review, analysis, and resolution of reports received through Cigna’s Ethics Help Line and other channels, including complaints involving allegations of fraud, corruption, privacy concerns, conflicts of interest, discrimination, harassment, retaliation, failure to escalate, and other inappropriate behavior; Ensure that compliance and ethics inquiries, and reports of alleged employee misconduct are promptly assessed, responded to, timely and thoroughly investigated, and resolved; Partner with Cigna's team of e-discovery and forensic investigators to identify, preserve, and obtain relevant documents and data; Conduct internal investigations, to include reviewing relevant documents, communications and data, and conducting interviews of relevant individuals, including privileged internal investigations conducted under the supervision and direction of in-house and/or outside counsel; Ensure that investigative actions, files, findings, and outcomes are thoroughly and timely documented, memorialized, accurate and complete; prepare reports of interviews and other investigative reports; and ensure that findings and conclusions from internal investigations are timely and effectively communicated to relevant stakeholders; Collaborate with Human Resources and Employee Relations on any employment actions arising from internal investigations; In collaboration with partners in Enterprise Compliance and the relevant business segment, conduct root cause analyses and determine whether any remedial or corrective actions may be appropriate, and whether matters and/or findings or conclusions should be disclosed to federal and/or state agencies; Ensure that appropriate policies and procedures, and training and education programs, are adopted as warranted by findings in internal investigations. Foster a culture of integrity, accountability, and compliance within the organization. Qualifications Juris Doctorate from an ABA accredited law school required; Experience 5-8 years conducting and managing complex investigations, preferably in a large, matrixed healthcare company or other corporate investigations function. Ability to prioritize and act with urgency when appropriate Being part of a team in a manner that enables a collaborative, respectful, and inclusive environment; Strong people skills, including effective interviewing skills, and outstanding oral and written communications skills; A comfort level with the laws and regulations that apply to The Cigna Group’s businesses; Ability to review and analyze a complex set of facts, documents, or data, and an ability to identify, distill, and present the most relevant material; Ability to evaluate complex issues and make appropriate recommendations to senior leaders; A demonstrated commitment to integrity, compliance, and ethical decision making; Consistently sound judgment and incisive analytical abilities; Ability to present or explain complex issues clearly and succinctly; Demonstrated ability to perform effectively and collegially as part of a cross-disciplinary team in a fast-paced environment; Ability to prioritize – and to reassess priorities as necessary – to ensure that internal and external expectations are fulfilled; Attention to detail and an ability to compile and analyze regulatory and business information, and to develop and provide recommendations for process improvement. Demonstrated ability to work collaboratively with cross-functional teams; Willingness to travel occasionally. *This role is Hybrid and is 3 days in office. 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 132,700 - 221,100 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. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. About the company Cigna is an American worldwide health services organization based in Bloomfield, Connecticut. Notice Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000. Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility. An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: . NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000. #J-18808-Ljbffr Cigna

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