Manager, Individual Dental Enrollment, Billing, Reconciliation

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🔥 9 horas atrás

🐊 Florida, Missouri, +3 estados a mais – Remoto

🐊 Florida – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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The Cigna Group

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1982

🏥 Saúde

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare • Healthcare Insurance • Pharmaceuticals

O Grupo Cigna é uma empresa global de saúde comprometida em melhorar a saúde e vitalidade de seus clientes, consumidores e pacientes. Com suas duas divisões, Cigna Healthcare e Evernorth Health Services, a empresa foca em melhorar a qualidade de vida através de serviços de saúde e gestão de benefícios farmacêuticos. O Grupo Cigna é dedicado a práticas éticas em saúde e inteligência artificial, e se esforça para criar mudanças positivas no sistema de saúde. Também enfatiza suas responsabilidades Ambientais, Sociais e de Governança (ESG), visando impactar a equidade em saúde e promover a inovação na prestação de serviços de saúde.

Descrição

• Lead enrollment and eligibility operations for the Individual Dental business • Ensure accurate processing of enrollments, renewals, changes, terminations, and eligibility updates • Lead billing and premium administration, including invoicing, premium collection, payment processing, and account maintenance • Coordinate month-end, quarter-end, and year-end activities supporting premium administration and financial reporting • Lead daily through annual reconciliation processes across internal and external systems and business partners • Analyze and resolve enrollment and financial discrepancies • Serve as primary operational liaison for vendors supporting enrollment, billing, premium administration, and reconciliation • Monitor vendor execution and operational performance and coordinate issue escalation • Develop operational reporting and monitor trends, workload indicators, and performance metrics • Support forecasting, workload planning, staffing analysis, and resource management • Lead cross-functional issue resolution, root-cause analysis, and process improvement initiatives • Partner with operations, Finance, Accounting, Enrollment, Technology, vendors, and other stakeholders • Lead, coach, mentor, and develop a high-performing operational team • Communicate operational performance, reconciliation status, and business impacts to stakeholders and leadership

🎯 Requisitos

• Bachelor's Degree required; equivalent experience may be considered • 5+ years of progressive experience in enrollment operations, billing, premium administration, reconciliation, financial operations, healthcare operations, insurance operations, or related disciplines • Demonstrated experience leading operational teams and coordinating cross-functional initiatives • Strong understanding of enrollment processes, premium billing, financial reconciliation, operational reporting, and data management • Experience working with external vendors and matrixed business partners • Strong analytical and problem-solving skills with demonstrated experience resolving complex operational and financial issues • Experience utilizing operational data and reporting to support business decisions and performance management • Excellent communication, organizational, and stakeholder management skills • Ability to manage multiple priorities in a fast-paced operational environment • Healthcare, insurance, or regulated industry experience preferred • If working at home, internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

🏖️ Benefícios

• Remote work arrangement • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload required for home working • Tobacco-free policy • Reasonable accommodation support for the online application process