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Provide legal counsel and support regarding complex federal and state health care and insurance laws and regulations. Work closely with regional, corporate and departmental leadership in achieving the company’s business objectives in compliance with applicable law. The ideal candidate will understand the law and how it relates to the business, have a collaborative approach to problem-solving and provide solution-based advice in a fast-paced environment. Strong analytical, communication and drafting skills required. Must effectively develop and manage relationships with business clients and business partners.
Provide legal counsel and advice to HealthSpring business units (Network Operations, Sales, Compliance, etc.) on a wide variety of issues and matters.
Identify, raise and, when appropriate, resolve regulatory and compliance issues
Draft and negotiate healthcare provider-payer agreements
Assist in resolution of commercial disputes (through informal negotiation and litigation)
Advise and support corporate development activities, including strategic initiatives with health systems, ancillary providers and physicians
Manage projects, drive tasks to conclusion and execute effectively alongside knowledgeable, experienced internal clients.
5+ years’ experience in law firm or corporate legal department
JD and bar admission.
Knowledge of CMS, Medicare Advantage and Medicaid regulations and other state and federal regulations applicable to Cigna-HealthSpring’s business.
A customer-focused and creative approach to problem solving and the ability to efficiently manage a substantial number of issues.
Strong verbal and written communication skills, demonstrated good judgment and willingness to take on any project.
Background in healthcare, insurance or managed care operations
Familiarity with government health care programs (Medicare and Medicaid) and understanding of health care benefit coverage and medical policy
Track record of project management, strong partnership and collaboration, influential leadership, and process management.
CIGNA, a global health service company, is dedicated to helping people improve their health, well-being and security. CIGNA Corporation's operating subsidiaries provide an integrated suite of medical, dental, behavioral health, pharmacy and vision care benefits, as well as group life, accident and disability insurance, to more than 46 million people throughout the United States and around the world. To learn more about CIGNA, visit www.cigna.com.