Position Summary

The Manager, Enrollment, Billing & Reconciliation is responsible for the day-to-day leadership and performance of enrollment, eligibility, billing, premium administration, and reconciliation functions supporting the Individual Dental business. This role ensures accurate enrollment processing, premium billing, financial reconciliation, data integrity, and operational execution across internal and vendor-supported operations.

The Manager partners closely with Operations, Finance, Customer Operations, Technology, and vendor partners to ensure operational excellence, financial accuracy, timely issue resolution, and a seamless customer experience. This leader is accountable for operational performance, reconciliation integrity, data accuracy, business readiness, and continuous improvement efforts supporting the end-to-end member and financial lifecycle.

Core Accountabilities and Responsibilities

Enrollment & Eligibility Operations

• Lead enrollment and eligibility operations supporting the Individual Dental business.
• Ensure accurate and timely processing of new enrollments, renewals, changes, terminations, and eligibility updates.
• Monitor enrollment integrity and data quality across internal and external systems.
• Partner with operational and technology teams to identify, prioritize, and resolve enrollment issues impacting customers or business performance.
• Support implementation of process enhancements that improve enrollment accuracy, efficiency, and customer outcomes.

Billing & Premium Administration

• Lead billing and premium administration activities to ensure accurate invoicing, premium collection, payment processing, and account maintenance.
• Monitor billing performance and identify opportunities to improve operational efficiency, financial accuracy, and customer experience.
• Coordinate month-end, quarter-end, and year-end operational activities supporting premium administration and financial reporting.
• Partner with Finance and vendor teams to ensure accurate execution of premium processing activities.
• Support business initiatives and operational changes impacting billing and premium management functions.

Financial & Enrollment Reconciliation

• Lead reconciliation activities supporting enrollment, premium, financial, and operational transactions.
• Coordinate daily, weekly, monthly, quarterly, and annual reconciliation processes across multiple internal and external systems and business partners.
• Analyze, investigate, and resolve enrollment and financial discrepancies impacting operational performance or financial accuracy.
• Partner with vendors, Finance, Accounting, Enrollment, and operational teams to facilitate timely resolution of reconciliation issues.
• Develop processes and reporting that improve transparency, accountability, and resolution of reconciliation discrepancies.

Vendor Operations Management

• Serve as the primary operational liaison for vendors supporting enrollment, billing, premium administration, and reconciliation activities.
• Monitor vendor execution and operational performance to ensure business requirements and service expectations are achieved.
• Coordinate issue resolution and escalation activities between vendors and internal business partners.
• Support operational reviews and performance discussions focused on service delivery, operational effectiveness, and customer outcomes.
• Collaborate with vendor partners to improve operational processes, data integrity, and business performance.

Operational Reporting & Business Performance

• Develop and maintain operational reporting that provides visibility into enrollment, billing, reconciliation, service, and financial performance.
• Monitor operational trends, workload indicators, and performance metrics to identify risks and opportunities.
• Support forecasting, workload planning, staffing analysis, and resource management activities.
• Communicate operational performance, reconciliation status, and business impacts to stakeholders and leadership teams.
• Provide analysis and insights that support business decision-making and operational planning.

Issue Resolution & Process Improvement

• Lead cross-functional efforts to identify, research, and resolve complex enrollment, billing, premium, reconciliation, and data integrity issues.
• Conduct root-cause analysis and implement sustainable solutions that improve operational performance and financial accuracy.
• Partner with operational, vendor, finance, and technology teams to improve processes, controls, and system capabilities.
• Identify opportunities to reduce operational errors, improve efficiency, and strengthen the customer experience.
• Serve as a subject matter expert supporting operational initiatives, business changes, and organizational priorities.

Leadership & Team Development

• Lead and develop a high-performing team supporting enrollment, billing, premium administration, and reconciliation functions.
• Establish performance expectations and accountability measures that drive operational excellence and business results.
• Foster a culture of customer focus, collaboration, continuous improvement, and operational discipline.
• Provide coaching, mentoring, and development opportunities that strengthen team capabilities and support career growth.
• Build strong partnerships across operational, financial, vendor, and enterprise organizations to support organizational success.

Qualifications

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

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.