CHSI Compliance Role Job Description

The candidate will serve as the business compliance function for Cigna Health Solutions India Pvt. Ltd, based in Bangalore (“Cigna BLR”), with responsibility for (i) local Indian regulatory compliance (excluding data privacy); and (ii) compliance requirements arising from Cigna BLR’s membership of a US-headquartered group of companies. This position requires in-office attendance in Bangalore and shall report to the Head of Legal & Compliance, International Health Delivery Services (“IHDS”).

Key Responsibilities:

Act as the business compliance function for Cigna BLR, owning and implementing its compliance program while coordinating closely with Cigna’s Central Compliance team and other relevant Cigna compliance teams.

• Advise Cigna BLR and its business units on applicable Indian legal and regulatory compliance requirements, identify compliance risks, and provide practical guidance on controls and remediation.

• Maintain and implement a risk-based compliance program, including compliance risk assessments, policies and procedures, monitoring, testing, investigations, due diligence, training, reporting, issue management and remediation tracking.

• Work closely with the Cigna BLR site lead and functional leaders to foster a strong culture of integrity, accountability and compliance across the organisation.

• Prepare regular compliance and risk reports for Cigna BLR management, relevant governance forums, the Head of Legal & Compliance, IHDS, and Central Compliance.

• Monitor and assess changes in Indian laws, regulations, regulatory expectations, directives, notices, guidelines, codes, circulars and enforcement trends relevant to Cigna BLR and the services it performs and update relevant stakeholders of the same.

• Own India-focused horizon scanning for all legislation relevant to Cigna BLR’s operations (including labor/HR, tax, finance and insurance related as well as legal and compliance risk-related legislation), assess the operational impact of regulatory developments, communicate relevant changes promptly, and oversee implementation of required actions.

• Engage with other Cigna entities in India to share regulatory intelligence, align positions where appropriate, and help inform a cohesive India regulatory and compliance strategy.

• Coordinate regulatory communications, filings and engagement with relevant Indian authorities in relation to Cigna BLR’s compliance obligations, working with internal stakeholders and external advisers as required.

• Implement and oversee Cigna enterprise compliance requirements applicable by virtue of Cigna BLR being part of a US-headquartered group, including sanctions and export controls, anti-bribery and corruption, conflicts of interest, fraud prevention, ethics, whistleblowing and compliance with applicable Cigna group policies.

• Oversee sanctions screening and related escalation processes performed by Cigna BLR, and coordinate with Central Compliance on controls, investigations, reporting and remediation.

• Maintain the AML/CFT framework to the extent applicable to Cigna BLR’s activities and ensure alignment with relevant legal, regulatory and Cigna enterprise requirements.

• Monitor downstream regulatory obligations arising from outsourced services performed by Cigna BLR for regulated Cigna entities, including eligibility, claims administration, claims adjudication, clinical review and customer service (excluding data privacy).

• Monitor compliance with downstream obligations, support regulatory audits and customer assurance activities, escalate control gaps or incidents, and oversee timely corrective action.

• Develop and deliver role-appropriate compliance training and communications for Cigna BLR employees and relevant stakeholders, taking a proactive approach to identifying and addressing any compliance gaps.

• Participate in compliance projects and other compliance matters assigned by the Cigna Central Compliance Team, Cigna BLR management or the Head of Legal & Compliance, IHDS.

Requirements:

·            Law Degree (LLB or equivalent).

·            Qualified lawyer with 6–7 years of relevant compliance experience, including at least 5 years in a regulated environment (preferably from a shared service center background).

·            Ability to perform independently and a good team player.

·            Strong analytical skills, solution-oriented and a commercial mind with an eye for detail.

·            Proactive and flexible individual with a structured approach to tackle problems.

·            Possess good planning, organisational and time management skills.

·            Ability to work under pressure in a fast-paced and dynamic environment while handling multiple competing tasks simultaneously to closure.

·            Good communication and interpersonal skills, with the ability to work with people at all levels.

·            Ability to challenge stakeholders, including senior management.

·            Good network building skills.

·            Good command of written and spoken English.

About The Cigna Group