Lead Analyst, Dental Premium Enrollment & Reconciliation

🔥 0 minutes ago

🦌 Connecticut, Florida, +3 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $62.6k - $104.3k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Support daily premium operations for Individual Dental, including identifying, researching, and resolving metric gaps • Analyze premium billing, collection, revenue capture, and reporting processes and recommend improvements • Support requirements evaluation and procedure or policy development for complex premium operational needs • Support compliance with subsidy-payment processing requirements • Reconcile and pay vendor purchase orders and invoices • Execute assigned Sarbanes-Oxley controls and maintain control-testing documentation • Establish and maintain enrollment-data analysis, reconciliation, and discrepancy-resolution processes • Perform daily, weekly, and monthly enrollment reconciliation across multiple systems and partners • Research transactional errors and enrollment discrepancies and coordinate resolutions • Develop recurring financial and operational reporting, including premium-error forecasts • Support monthly, quarterly, and annual financial-close activities • Analyze enrollment and financial information supporting Healthcare Exchange fees, cost-share reduction impacts, and premium tax credit payments • Partner with Finance and Accounting to resolve financial-data discrepancies • Develop and implement billing, enrollment, and financial-management processes and technology solutions • Communicate reconciliation status, discrepancies, and resolution efforts to partners and leadership • Support audits with documentation and analysis • Analyze trends, control gaps, recurring discrepancies, and improvement opportunities • Develop contingency plans and practical solutions for operational issues • Manage competing priorities and drive measurable improvements in operational performance and data quality

🎯 Requirements

• Bachelor’s degree in Business, Finance, Healthcare Administration, or a related discipline preferred; equivalent professional experience may be considered • At least three years of business experience in healthcare operations, financial reconciliation, enrollment management, or a related discipline • Experience supporting Individual Dental or Individual and Family Plan operations strongly preferred • Knowledge of premium billing, enrollment processing, financial reconciliation, discrepancy management, and operational reporting • Understanding of operational controls, audit documentation, and cross-functional issue resolution • Strong analytical and problem-solving skills • Strong written and verbal communication skills • Ability to organize work, manage competing priorities, and drive results • Ability to work independently and collaborate with vendors, peers, matrix partners, and leaders • Strong influencing and matrix-management capabilities preferred • Proficiency with Microsoft Excel and Access • Working knowledge of Microsoft Word, PowerPoint, and Visio preferred • Experience with relational databases, XML, reconciliation tools, and enrollment or billing vendor systems preferred • If working at home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload is required

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Tobacco-free policy • Home internet requirement support/eligibility for cable broadband or fiber optic service