Manager, Individual Dental Enrollment, Billing, Reconciliation

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🔥 0 minutes ago

🐊 Florida, Missouri, +3 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

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Logo of The Cigna Group

The Cigna Group

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

• 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

🎯 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 • 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

🏖️ Benefits

• 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

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