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Posted Apr 19

Counsel , Cigna HealthSpring - Medicare Advantage

Cigna
Nashville, TN Full Time

Role Summary

Provide legal counsel and support regarding complex federal and state health care and insurance laws and regulations. Work closely with regional, corporate and departmental leadership in achieving the company’s business objectives in compliance with applicable law. The ideal candidate will understand the law and how it relates to the business, have a collaborative approach to problem-solving and provide solution-based advice in a fast-paced environment. Strong analytical, communication and drafting skills required. Must effectively develop and manage relationships with business clients and business partners.

Responsibilities Include:

Provide legal counsel and advice to HealthSpring business units (Network Operations, Sales, Compliance, etc.) on a wide variety of issues and matters.

Identify, raise and, when appropriate, resolve regulatory and compliance issues

Draft and negotiate healthcare provider-payer agreements

Assist in resolution of commercial disputes (through informal negotiation and litigation)

Advise and support corporate development activities, including strategic initiatives with health systems, ancillary providers and physicians

Manage projects, drive tasks to conclusion and execute effectively alongside knowledgeable, experienced internal clients.

Qualifications

Minimum Qualifications:

5+ years’ experience in law firm or corporate legal department

JD and bar admission.

Knowledge of CMS, Medicare Advantage and Medicaid regulations and other state and federal regulations applicable to Cigna-HealthSpring’s business.

A customer-focused and creative approach to problem solving and the ability to efficiently manage a substantial number of issues.

Strong verbal and written communication skills, demonstrated good judgment and willingness to take on any project.

Background in healthcare, insurance or managed care operations

Preferred Requirements:

Familiarity with government health care programs (Medicare and Medicaid) and understanding of health care benefit coverage and medical policy

Track record of project management, strong partnership and collaboration, influential leadership, and process management

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