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Manager, Individual Dental Enrollment, Billing, Reconciliation

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🔥 0 minutes ago

🏰 Missouri – Remote

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⏰ Full Time

🟡 Mid-level

đźź  Senior

đź‘” Manager

đź‘» Ghost score 10%

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Logo of The Cigna Group

The Cigna Group

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

đź“‹ Description

• Lead enrollment and eligibility operations supporting the Individual Dental business • Ensure accurate and timely processing of new 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 operational activities supporting premium administration and financial reporting • Lead daily, weekly, monthly, quarterly, and annual reconciliation processes across internal and external systems and business partners • Analyze, investigate, and resolve enrollment and financial discrepancies • Serve as the primary operational liaison for vendors supporting enrollment, billing, premium administration, and reconciliation • Monitor vendor execution and operational performance and coordinate issue resolution and escalations • Develop and maintain operational reporting on enrollment, billing, reconciliation, service, and financial performance • Support forecasting, workload planning, staffing analysis, and resource management • Lead cross-functional root-cause analysis and process improvement efforts • Improve processes, controls, system capabilities, operational efficiency, financial accuracy, and customer experience • Lead and develop a high-performing team • Establish performance expectations, provide coaching and mentoring, and build cross-functional partnerships

🎯 Requirements

• 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 • For home working, internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Cable broadband or fiber optic internet service required for home working, with at least 10Mbps download/5Mbps upload • Tobacco-free policy; qualifying smoking cessation program may be entered before employment in applicable states

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