Position Summary
The Legal Compliance Advisor is responsible for supporting regulatory compliance, governance, and implementation activities for the Individual Dental business. This role serves as a key operational partner to ensure federal and state regulatory requirements are accurately assessed, documented, communicated, implemented, and monitored across the Individual Dental organization.
The Legal Compliance Advisor partners closely with Product, Operations, Government Affairs, Legal, Enterprise Compliance, Portfolio, Quality, and vendor partners to support regulatory readiness, ongoing compliance execution, risk mitigation, and operational governance. This role is accountable for coordinating regulatory implementation activities, maintaining compliance documentation and evidence, monitoring regulatory obligations, supporting audits and examinations, and identifying opportunities to strengthen compliance processes and controls.
The position plays a critical role in ensuring Individual Dental maintains a sustainable and scalable regulatory compliance framework that supports business objectives while meeting regulatory and contractual obligations.
Core Accountabilities & Responsibilities
Regulatory Compliance Management
- Monitor federal and state regulatory requirements impacting the Individual Dental business.
- Assess new and evolving regulatory requirements to determine operational, product, process, and customer impacts.
- Partner with business stakeholders to ensure regulatory requirements are implemented timely and accurately.
- Coordinate regulatory implementation activities across operational and matrixed business partners.
- Support ongoing compliance with applicable regulatory, contractual, and business requirements.
New Law Implementation (NLI) Governance
- Serve as a key participant in New Law Implementation processes supporting Individual Dental products.
- Analyze regulatory instructions and facilitate identification of impacted business areas.
- Coordinate implementation activities, timelines, deliverables, and stakeholder engagement associated with regulatory changes.
- Maintain documentation supporting regulatory assessments, implementation decisions, and compliance evidence.
- Monitor implementation progress and escalate risks, issues, or barriers impacting compliance readiness.
Compliance Documentation & Evidence Management
- Maintain compliance documentation, regulatory inventories, process documentation, and evidence repositories.
- Coordinate collection, validation, and retention of documentation supporting regulatory compliance activities.
- Ensure compliance evidence is appropriately documented and available for audit, examination, or regulatory review.
- Support governance activities associated with compliance management systems and regulatory tracking tools.
- Identify opportunities to improve documentation standards, consistency, and accessibility.
Regulatory Risk & Controls Oversight
- Identify and evaluate regulatory risks impacting the Individual Dental business.
- Partner with business owners to develop mitigation strategies and corrective action plans.
- Track compliance risks, issues, and remediation activities through resolution.
- Support monitoring activities designed to identify compliance gaps and control weaknesses.
- Communicate regulatory risks, trends, and emerging concerns to leadership and business partners.
Product Availability Grid & Regulatory Governance
- Support governance and maintenance of Product Availability Grids and other regulatory reference materials.
- Validate alignment between regulatory requirements, filed products, operational processes, and business documentation.
- Partner with Product, Filing, and Operational teams to ensure regulatory consistency across business artifacts.
- Coordinate updates resulting from new regulatory requirements, business changes, or product modifications.
- Support ongoing accuracy, completeness, and governance of regulatory documentation.
Audit, Examination & Regulatory Inquiry Support
- Support preparation activities for audits, regulatory examinations, and compliance reviews.
- Coordinate information gathering and documentation requests associated with regulatory inquiries.
- Maintain organized records supporting audit readiness and compliance validation.
- Track examination findings, recommendations, and corrective actions.
- Partner with stakeholders to ensure timely responses and issue resolution.
Cross-Functional Partnership & Regulatory Consultation
- Serve as a regulatory compliance subject matter expert for Individual Dental operations.
- Provide guidance and consultation to business partners regarding regulatory requirements and implementation considerations.
- Facilitate collaboration across Operations, Product, Compliance, Legal, Quality, Technology, and vendor organizations.
- Build strong relationships that support effective regulatory communication and execution.
- Support strategic initiatives requiring regulatory assessment or compliance input.
Process Improvement & Operational Excellence
- Identify opportunities to improve regulatory compliance processes, workflows, controls, and documentation practices.
- Conduct root cause analysis of compliance-related issues and recommend sustainable corrective actions.
- Support development and implementation of new compliance processes and governance structures.
- Leverage data, trends, and operational insights to improve regulatory readiness and compliance effectiveness.
- Contribute to continuous improvement initiatives that strengthen operational performance and oversight.
Qualifications
- Bachelor's Degree required; equivalent experience may be considered.
- 5+ years of experience in regulatory compliance, healthcare operations, insurance operations, legal compliance, risk management, governance, audit, or related disciplines.
- Working knowledge of federal and state regulatory requirements within healthcare, insurance, or other regulated industries.
- Experience supporting regulatory implementation, compliance programs, audits, examinations, or governance activities.
- Demonstrated ability to coordinate complex cross-functional initiatives and drive execution through matrixed organizations.
- Strong analytical and problem-solving skills with the ability to assess regulatory impacts and operational risks.
- Experience developing, maintaining, and managing compliance documentation and evidence.
- Excellent written, verbal, presentation, and stakeholder management skills.
- Ability to manage multiple priorities in a dynamic, fast-paced environment.
- Experience working with regulatory tracking, risk management, governance, or compliance management systems preferred.
- Healthcare, dental, insurance, or regulated industry experience strongly preferred.
Identifies opportunities to improve compliance effectiveness, operational efficiency, and governance practices.
Communication & Influence
Communicates complex regulatory concepts in a clear and actionable manner while effectively influencing stakeholders.
Drive for Results
Delivers high-quality outcomes through accountability, execution, organization, and attention to detail.
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 96,200 - 160,400 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 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, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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 need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
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.
RemoteSkills:
Analysis Skills, Broadband, Business Support, Communication Skills, Compensation and Benefits, Continuous Improvement, Contract Requirements, Corrective Action, Cross-Functional, Dental Insurance, Detail Oriented, Document Management, Documentation, Documentation Standards, Employee Benefits, Federal Laws and Regulations, Fiber Optic Cable, Government Regulations, Health Insurance, Healthcare, Internet Service Providers, Leadership, Legal, Maintain Compliance, Matrix Management, Monitor Regulations, Multitasking, Operational Improvement, Operational Strategy, Operations Processes, Organizational Skills, People Management, Performance Analysis, Policy Implementation, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Product Support, Record Keeping, Regulations, Regulatory Compliance, Regulatory Requirements, Requirements Management, Risk Analysis, Risk Management, Root Cause Analysis, State Laws and Regulations, State Ordinances, Strategic Planning, Support Documentation, Sustainability, Time Management, Trend Analysis, Work From Home, Writing Skills
undefined:
The Cigna Group
