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Dental , Enrollment & Reconciliation Lead Analyst, Individual Dental Operations - Cigna Healthcare - Remote

Remote / Online - Candidates ideally in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listing for: Cigna Health and Life Insurance Company
Remote/Work from Home position
Listed on 2026-10-03
Job specializations:
  • Accounting
    Financial Reporting, Financial Analyst, Accounts Receivable/ Collections, Financial Compliance
  • Business
    Financial Analyst, Accounts Receivable/ Collections, Financial Compliance
Salary/Wage Range or Industry Benchmark: 63000 - 104000 USD Yearly USD 63000.00 104000.00 YEAR
Job Description & How to Apply Below
Position: Dental Premium, Enrollment & Reconciliation Lead Analyst, Individual Dental Operations - Cigna Healthcare - Remote
Position Summary

The Individual Dental Premium, Enrollment and Reconciliation Lead Analyst supports premium processing, enrollment operations, and financial reconciliation for on- and off-Marketplace Individual Dental business. This role partners with vendors and internal matrix partners to research and resolve data discrepancies across multiple systems, maintain the accuracy and consistency of enrollment and financial information, and provide clear reporting on the status of premium, enrollment, and reconciliation activities.

The Lead Analyst serves as a senior operational resource and subject matter expert, using data analysis, cross-functional coordination, and process improvement capabilities to support accurate financial outcomes, effective operational controls, and reliable end-to-end data flows. This is an individual-contributor role with no direct people-management responsibilities.

Core Accountabilities & Responsibilities Premium Operations

Support daily premium operations for Individual Dental, including identifying, researching, and resolving metric gaps across vendor and internal systems. Analyze the effectiveness of premium billing, collection, revenue capture, and reporting processes and recommend sustainable, repeatable, and measurable improvements. Support business initiatives involving the evaluation of requirements and development of procedures and policy solutions for complex premium-related operational needs. Partner with government and Individual Marketplace stakeholders to support compliance with requirements governing subsidy-payment processing and resolve identified gaps.

Support the reconciliation and payment of vendor purchase orders and invoices associated with premium operations. Execute assigned Sarbanes-Oxley controls and maintain appropriate documentation to support ongoing control testing.

Enrollment Operations

Partner with vendors and internal stakeholders to establish and maintain end-to-end processes for enrollment-data analysis, reconciliation, and discrepancy resolution. Support daily, weekly, and monthly enrollment reconciliation across multiple systems and internal and external partners. Research transactional errors and enrollment discrepancies, determine contributing factors, and coordinate appropriate resolution. Analyze discrepancies identified through monthly reconciliation among the Healthcare Marketplace, affinity partners, and enrollment and billing vendors.

Coordinate with vendor, enrollment, and Healthcare Marketplace liaison teams to report, track, and resolve enrollment-data discrepancies. Use data-driven analysis to reduce disconnected or inconsistent metrics and improve enrollment-process efficiency.

Financial Reconciliation and Reporting

Support monthly, quarterly, and annual financial-close activities for Individual Dental, including vendor and governmental reconciliation. Research, explain, and support the resolution of reconciliation discrepancies affecting enrollment and financial reporting. Develop weekly, monthly, quarterly, and annual reporting, including premium-error forecasts and actual results compared with forecasts. Analyze the validity of enrollment and financial information supporting Healthcare Exchange user fees, cost-share reduction impacts, and applied premium tax credit payments.

Summarize findings and provide recommendations to support accurate financial and operational outcomes. Partner with Finance and Accounting to coordinate reporting and resolve financial-data discrepancies. Serve as a procedural and workflow subject matter expert for Individual Dental reconciliation processes.

Operational and Technology Partnership

Partner with operational and technology teams to develop and implement business processes and technology solutions supporting oversight of Dental billing, enrollment, and financial management. Communicate the status of reconciliation activities, discrepancies, and resolution efforts to matrix partners and leadership. Build and maintain cross-functional relationships that support end-to-end data accuracy, transparency, and timely issue resolution. Identify future program and operational needs and contribute to business cases supporting process or technology changes.

Serve as a project resource and subject matter expert for Individual Dental and enterprise initiatives, as assigned. Support corporate and statutory audits by providing documentation and analysis related to premium, enrollment, and reconciliation activities.

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