Are you someone passionate about operational performance and continuous improvement? IH Central Compliance seeks a Central Compliance Lead Analyst to facilitate the operations of the Central Compliance team to deliver a world-class proactive compliance program, and high quality service.
The Central Compliance Lead Analyst provides advanced professional input to complex Compliance assignments/projects, and independently supports the implementation of IH Central Compliance Program and achieving program objectives; they work autonomously, only requiring expert level subject-matter support from others.
Key Responsibilities
•FinScan. Develop a deep understanding of ABAC, Sanctions, AML and FinScan to enable Cigna’s needs in complying with applicable regulations and Cigna policy. Partner with Legal IT, operations and business unit stakeholders to enable Central Compliance to advise on design and system enhancements to FinScan. Provide daily ongoing FinScan support (including screening, clearing alerts for Finscan, verifying FinScan lists, reporting on FinScan metrics and ongoing FinScan monitoring and maintenance). Analyse screening data, user feedback and operational metrics to identify optimization opportunities.
•Monitoring & Testing. Prepare annual Central Compliance monitoring and testing plan and executing on testing of ABAC, Sanctions and AML controls in scope. Exercises sound risk-based judgment in the evaluation, selection, and adaptation of areas of controls testing in plan.
•Remediation Action Item Oversight. Monitor progress, track (non-completion) risks and implement mitigation strategies to oversee full execution remediation action items post-investigation cross-functionally and collaboratively.
•Compliance Program Enhancement. Spend 15-25% of time managing assigned special, and more complex projects in Annual Compliance Plan. Monitor progress, track (non-completion) risks and implement mitigation strategies to enable full execution of Annual Compliance Plan.
•Compliance Operations. Provide Head of Central Compliance with budget analysis and management recommendations; incorporate feedback. Capture full external counsel spend on compliance matters across IH to aid active spend management. Monitor operational costs for improved budget forecasting accuracy Supervise and track legal billing, including rate approvals, invoice review and payment; resolve invoice processing issues.
•General. Support IH Central Compliance team on any other matters
Requirements
•BA/BS requirement (law or accounting a plus but not essential)
•Minimum 8 years of experience, preferably in audit, assurance or project management. Strong attention to detail essential.
•A strong understanding of claims processing, customer and payment screening workflows
•Hands on experience using FinScan or similar screening tools a plus.
•Highly organized, data-driven and adaptable to changing business priorities and can multitask and deliver results within timelines.
•Strong collaborative and interpersonal skills; customer-service oriented; high integrity; inclusive approach and respect for all levels of employees.
•Collaborative mindset with a strong sense of urgency, ownership and accountability.
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 require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA cigna.com for support. Do not email SeeYourselfEMEA cigna.com for an update on your application or to provide your resume as you will not receive a response.