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Express Scripts Pharmacy Benefit Services

Legal Compliance Senior Manager - Express Scripts - Remote

st. louis, MO

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Job description

Legal Compliance Senior Manager - Express Scripts - Remote

Leads team of Analysts with full responsibility for team output including compliance to licensure regulations and associated reporting activity. Implements protocols for license management and record keeping regarding healthcare licensure requirements. Provides guidance to team on impact of regulatory changes that may affect licensure and documentation. Ensures short to medium term outputs are timely and accurate while also planning for long term outputs. Manages workforce planning and recruitment activities. Serves as a point of escalation for the team and ensures that regulatory information is communicated to all team members.

Internally interfaces with Pharmacy Compliance, State Regulatory Affairs, Pharmacy Practice, Accreditations, the Office of the Corporate Secretary and other teams. Collaborates with business partners on pharmacy projects impacting licensure and insures that related material changes are reported appropriately. Manages licensure projects related to material changes. Provides input to corporate projects with impact on pharmacy licensure. Externally interfaces with appropriate regulatory agencies.

Experience

Manage a team of 2 Analysts responsible for pharmacy licensure and reports

Ensure that all required filings and renewals are timely

Develop customized reports that meet business needs related to pharmacy licensure

Update and maintain current information in applicable internal databases and tracking tools. Ensure consistent use of the tools and implement improvements to support Enterprise Compliance goals and priorities.

Provide input to enterprise projects that impact licensure.

Develop and maintain strong working relationships with internal partners including Government Affairs, Regulatory, Pharmacy Compliance, Pharmacy Practice, Accreditations, etc.

Develop and maintain good working relationships with external regulatory points of contact

Develop and maintain a strong working knowledge of Cigna's pharmacies and license requirements

Draft team policies and procedures and ensure P&Ps remain current

Maintain license discipline records and manage responses and notifications as applicable

Manage quality of the team’s output, including addressing data errors and providing quality checks

Assess compliance risk issues within organization, take appropriate actions to resolve, and elevate issues when necessary.

Qualifications

Bachelor’s Degree or equivalent with 8 plus years of relevant experience required. Must have regulatory/compliance experience and understand home delivery and specialty pharmacy processes.

Prior people management experience is required.

Possesses strong analytical, problem solving, research and organization skills.

Proven ability to innovate.

Experience working in a large, highly matrixed organization.

Strong decision-making skills.

Demonstrated strong sense of urgency and perseverance.

Demonstrated ability to multi-task and reprioritize deliverables independently.

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 126,800 - 211,400 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 and paid holidays. 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 require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

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.

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Worksite address

st. louis, MO, 63146, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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