Manager, Individual Dental Enrollment, Billing, & Reconciliation - Cigna Healthc

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, recon