Managing Counsel – Head of Legal & Compliance

Role Overview

• Serves as the senior-most legal and compliance leader for the Allegiance business, acting as a trusted advisor to executive leadership and a key member of the executive team.
• Partners with Cigna legal counsel and enterprise leadership to proactively manage legal, regulatory, contractual, and enterprise risk matters enabling strategic objectives while protecting the organization’s reputation and fiduciary obligations.
• Demonstrates executive professionalism, sound judgment, and discretion in all interactions with employees, clients, regulators, vendors, and the public, and serves as a visible role model for the Company.
• Provide strategic, practical legal counsel to senior leadership across business lines, balancing risk with business priorities.
• Lead legal and regulatory support, including monitoring developments and serving as a key liaison with regulators and external partners.
• Oversee outside counsel engagement, performance, and spend to ensure effective and cost-efficient legal services.
• Provide legal and compliance guidance across core functions, including sales, client onboarding, RFPs, contracting, and operations.
• Review, draft, and negotiate complex agreements (e.g., vendor, provider, BAAs, licensing) and establish contracting standards.
• Support corporate governance and entity management activities, including filings and documentation.
• Oversee regulatory inquiries, complaints, and data requests, ensuring accurate and timely responses.
• Provide legal oversight for key operational areas (e.g., appeals, subrogation, overpayments, Medicare secondary payer matters).
• Partner with business leaders to resolve escalated client issues and ensure compliant, risk-aligned outcomes.
• Lead and enhance the compliance program, including HIPAA Privacy and Security, training, monitoring, investigations, and incident response.
• Support accreditation and audit readiness efforts (e.g., URAC) and policy governance.
• Lead and develop Legal and Compliance team members, including direct oversight of the Compliance Director.

Requirements

• JD required
• 10+ years of progressive legal experience, with significant experience within a TPA, health plan, or highly regulated healthcare environment required
• Direct TPA experience strongly preferred, with demonstrated understanding of operations, regulatory requirements, and client-facing dynamics
• Proven experience leading and developing teams, including ability to coach, influence, and drive performance
• Demonstrated executive presence, with ability to effectively engage, influence, and advise senior leadership and external stakeholders
• Strong knowledge of applicable laws and regulations (e.g., ERISA, HIPAA, insurance/TPA operations, contracting, employment law)
• Experience supporting or leading compliance programs, including policy development, training, monitoring, and investigations
• Exceptional judgment and ability to provide practical, risk-based legal guidance in a complex environment
• Strong analytical, drafting, and negotiation skills
• Ability to manage competing priorities and operate effectively in a fast-paced, evolving environment
• High level of professionalism, discretion, and ability to handle sensitive matters.

Benefits

• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays