Legal Advisor, Healthcare Regulatory Compliance

The Cigna Group

. Work cross-functionally with Compliance, Legal, Government Affairs, and business stakeholders .

Posted 9/28/2026full-timeRemote • United StatesMid-LevelSenior💰 $96,200 - $160,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge of Medicaid compliance and regulatory requirements, with a strong ability to analyze data and provide guidance to stakeholders. Proven experience in conducting audits, risk assessments, and ensuring adherence to state and federal laws.

Highest-signal resume keywords

Medicaid Compliance Program ManagementHealthcare Regulatory RequirementsCompliance Audits and Risk AssessmentsCross-Functional CollaborationAnalytical and Problem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare ComplianceRegulatory AffairsUtilization ManagementCompliance AuditsRisk AssessmentData AnalysisRegulatory GuidanceContract InterpretationAccreditation StandardsCorrective Action Oversight

Soft Skills

Communication SkillsProject ManagementProblem-Solving Skills

Certifications & Qualifications

Bachelor's DegreeJDMaster's Degree in HealthcareParalegal CertificateActive RN License

Industry Keywords

MedicaidManaged CareGovernment-Sponsored Healthcare ProgramsHealthcare RegulationsCompliance Best Practices

About the role

Key responsibilities & impact

Work cross-functionally with Compliance, Legal, Government Affairs, and business stakeholders
Own EviCore's Medicaid Compliance program and processes
Perform and oversee second line of defense Medicaid regulatory audits
Identify and report non-compliance and risk areas to stakeholders for remediation
Analyze data to ensure preventative measures effectively mitigate risk
Ensure compliance with state and federal laws and regulations
Provide day-to-day Medicaid regulatory guidance to stakeholders
Notify stakeholders about updated Medicaid contracts and regulations
Present Medicaid matters in regulatory and new law oversight committees
Identify Medicaid regulatory compliance trends and risks through analysis and engagement
Participate in client regulatory audits and provide Medicaid regulatory guidance
Serve as an internal Medicaid subject matter expert
Advise functional leaders using deep professional knowledge
Provide thought leadership within Compliance and contribute to broader business projects

Requirements

What you’ll need

Bachelor's degree required
5+ years of healthcare compliance, regulatory affairs, utilization management, managed care, or related healthcare experience
Experience supporting Medicaid, Commercial, Medicare, or other government-sponsored healthcare programs
Strong knowledge of healthcare regulatory requirements, utilization management regulations, accreditation standards, and compliance best practices
Experience interpreting regulations, conducting compliance audits, monitoring activities, risk assessments, and corrective action oversight
Ability to analyze regulatory requirements and provide guidance to business, operational, clinical, and legal stakeholders
Experience partnering cross-functionally with Compliance, Legal, Operations, Government Affairs, and business leaders
Strong analytical, communication, project management, and problem-solving skills
Internet connection through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload when working at home
JD, Master's degree in a healthcare-related field, Paralegal Certificate, or active RN license preferred
Clinical RN experience within managed care, utilization management, case management, or health plan operations preferred

Benefits

Comp & perks

Medical, vision, and dental benefits starting on day one
Well-being and behavioral health programs
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Annual bonus plan eligibility
Remote work arrangement
Cable broadband or fiber optic internet requirement for working at home