• Provide strategic, practical legal counsel to senior leadership across business lines, balancing risk with business priorities

• Lead legal and regulatory support, including monitoring developments and serving as a key liaison with regulators and external partners

• Oversee outside counsel engagement, performance, and spend to ensure effective and cost-efficient legal services

• Provide legal and compliance guidance across core functions, including sales, client onboarding, RFPs, contracting, and operations

• Review, draft, and negotiate complex agreements (e.g., vendor, provider, BAAs, licensing) and establish contracting standards

• Support corporate governance and entity management activities, including filings and documentation

• Oversee regulatory inquiries, complaints, and data requests, ensuring accurate and timely responses

• Provide legal oversight for key operational areas (e.g., appeals, subrogation, overpayments, Medicare secondary payer matters)

• Partner with business leaders to resolve escalated client issues and ensure compliant, risk-aligned outcomes

• Lead and enhance the compliance program, including HIPAA Privacy and Security, training, monitoring, investigations, and incident response

• Support accreditation and audit readiness efforts (e.g., URAC) and policy governance

• Lead and develop Legal and Compliance team members, including direct oversight of the Compliance Director

Qualifications, Skills & Capabilities:

• JD required

• 10+ years of progressive legal experience, with significant experience within a TPA, health plan, or highly regulated healthcare environment required

• Direct TPA experience strongly preferred, with demonstrated understanding of operations, regulatory requirements, and client-facing dynamics

• Proven experience leading and developing teams, including ability to coach, influence, and drive performance

• Demonstrated executive presence, with ability to effectively engage, influence, and advise senior leadership and external stakeholders

• Strong knowledge of applicable laws and regulations (e.g., ERISA, HIPAA, insurance/TPA operations, contracting, employment law)

• Experience supporting or leading compliance programs, including policy development, training, monitoring, and investigations

• Exceptional judgment and ability to provide practical, risk-based legal guidance in a complex environment

• Strong analytical, drafting, and negotiation skills

• Ability to manage competing priorities and operate effectively in a fast-paced, evolving environment

• High level of professionalism, discretion, and ability to handle sensitive matters

• This is a remote role with periodic travel expected (monthly and quarterly) for team meetings, leadership engagement, and key business needs.

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 171,800 - 286,400 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 and long term incentive plan.

At The Cigna Group, 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), 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, .