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Operations Lead Analyst - IFP Reconciliation and Errors Resolutions -Work From Home Opportunity at Cigna

Posted in General Business 30+ days ago.

Type: Full-Time
Location: Bloomfield, Connecticut





Job Description:

Job Summary:

Leads and supports enrollment and financial reconciliation efforts for Individual Segment, including on and off Healthcare Marketplace business. Partners with external and internal matrix partners to research and resolve data issues across multiple internal and external systems. Ensure the consistency of data across partners. Facilitate transparency in the end to end flow of data. Provides widespread clear and concise communications regarding the status and accuracy of the end to end flow of information for the segment.

Core Responsibilities:


  • Work with vendor and key matrix partners to create and implement end to end data analysis, reconciliation, and discrepancy resolution processes for enrollment and financial data within the Individual Healthcare Segment for on and off marketplace business.

  • Support daily, weekly, and monthly reconciliation efforts across multiple internal and external matrix partners and systems including researching and resolving transactional errors.

  • Partner with vendor partner to analyze and understand all financial and enrollment discrepancies uncovered during the monthly reconciliation process between the Healthcare Market place and the enrollment and billing vendor.

  • Communicate the status of monthly reconciliation and the disjoint resolution process to cross functional matrix partners and leadership.

  • Coordinate with vendor, finance, accounting, enrollment, and Healthcare market place liaison teams to report and resolve data discrepancies.

  • Analyze, summarize, and provide recommendations related to the validity of enrollment and financial data supporting Health care exchange user fees, cost share reduction financial impacts, and applied premium tax credit payments.

  • Partners with operational and information technology teams to influence, develop and implement technology and business processes that enable operational oversight in the billing, enrollment, and financial management processes, reductions in operational costs, and support corporate or statutory audits.

  • Use data based analysis to drive decreased disjoint metrics, and operational efficiency.

  • Act as subject matter expert in support of segment and enterprise initiatives.

Minimum Qualifications:


  • 3 years or more of experience with reporting for finance, accounting, or business reconciliations

  • ACA experience including knowledge of the regulations


  • Good analytical and problem solving skills

  • Strong written and verbal communication skills

  • Strong organizational and interpersonal skills

  • Strong influencing and matrix management skills preferred.

  • Ability to work independently and in conjunction with co-workers of all levels.

  • Ability to create and implement contingency plans and solutions for problems that arise.

  • Demonstrated ability to drive results required.

  • Comfortable with raising questions, issues, ideas or suggestions to co-workers of all levels across all organizations.

  • Act with a sense of urgency to research questions or issues brought by the team.

  • Proficiency with Microsoft Excel & Access

  • Working knowledge of Microsoft Word, Power Point and Visio preferred.

  • Experience with relational databases and XML preferred.

  • Bachelor's degree or equivalent experience preferred

  • Effectively be able to communicate the story of the data

  • At least 3 years of bu siness experience

For this position, we anticipate offering an annual salary of $56,200 - $93,600, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

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 require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.





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