Counsel - Enterprise Investigations

Cigna Group; St. Louis (MO); Remote; USD 133,000 - 221,000; Full time

Benefits offered by this job

Medical, vision, dental benefits

401(k) plan

Tuition reimbursement

Paid time off (18+ days) and holidays

Job summary

The Cigna Group is seeking an experienced investigator to lead sensitive internal investigations across the enterprise, from intake through resolution, with a focus on compliance and ethics. You will mentor non-attorney investigators, coordinate with e-discovery teams, and report findings to senior leadership.

The ideal candidate holds a Juris Doctor, with 5+ years in complex investigations within corporate settings, and strong knowledge of healthcare regulatory laws.

Qualifications

• JD from ABA-accredited law school or equivalent.
• 5+ years of experience conducting complex internal investigations.
• Experience in corporate or publicly traded environments.
• Strong knowledge of laws governing healthcare/regulatory matters.
• Excellent interviewing, analytical and written/verbal communication skills.

Responsibilities

• Independently lead investigations from intake through resolution, including strategy, interviews, document review, and stakeholder debriefs.
• Mentor non-attorney investigators on legal standards, documentation and case handling.
• Ensure timely, thorough investigations of compliance and ethics inquiries and alleged misconduct.
• Collaborate with e-discovery/forensic teams to identify and preserve relevant documents.
• Draft clear reports and communicate findings to legal and business leaders.
• Collaborate with HR on employment-related outcomes and disciplinary actions.
• Conduct root cause analyses and assess remedial actions; determine disclosure needs to agencies.
• Promote policy adoption and training based on investigation findings.

Skills

Interviewing

Analytical thinking

Written communication

Regulatory compliance

Education

Juris Doctor (JD) from ABA-accredited law school

Job description

We are looking for an experienced and skilled investigator to conduct and/or oversee the most sensitive and complex investigations within the company. Our team of internal investigators is responsible for assessing and investigating reports and allegations of potential violations of Cigna’s Code of Ethics and Principles of Conduct; Cigna’s Compliance Policies and Procedures; and the various laws and regulations that apply to Cigna’s business, including Federal and State healthcare program requirements

Responsibilities:

• Independently lead investigations from intake through resolution, including initial formulation of investigation strategy, interviews, document review, and stakeholder debriefs
• Serve as a resource and mentor to non-attorney investigators on broader team, offering guidance on legal standards, documentation, and case handling
• 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 The Cigna Group’s team of e-discovery and forensic investigators to identify, preserve, and obtain relevant documents and data;
• Draft clear, timely reports and communicate findings to legal and business leaders
• Collaborate with HR on employment-related outcomes and disciplinary actions
• 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.
• Evaluate whether findings warrant disclosure to regulatory agencies
• Promote a culture of accountability, transparency, and compliance

Qualifications:

• Juris Doctor (JD) from an ABA accredited law school
• 5+ years of experience conducting and managing complex internal investigations, preferably in a corporate or publicly traded environment
• Strong knowledge of laws and regulations applicable to healthcare or regulated businesses
• Experience investigating business integrity matters, including conflicts of interest, code of conduct violations, employee misconduct, fraud, ethical concerns, retaliation allegations, and other sensitive workplace disputes.
• Excellent interviewing, analytical, and written and verbal communication skills
• Ability to evaluate complex issues, exercise sound judgment, and make practical recommendations to senior leaders
• Demonstrated commitment to integrity, compliance, and ethical decision making
• Remote role.

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 132,700 - 221,100 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 The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 [e-mail] 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.