Corporate Enterprise Investigations Counsel- Hybrid

We are looking for an experienced attorney skilled in compliance investigations to be part of the Legal Departments 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 Cignas 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 Cignas 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 Cignas 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 Groups 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.

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. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll 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