Lead Analyst, Dental Premium Enrollment & Reconciliation

This is a fully remote position, open to applicants in Connecticut, +4 more states.

📋 Description

• Assist with daily premium operations for Individual Dental, which includes identifying, investigating, and addressing metric discrepancies.

• Evaluate premium billing, collection, revenue capture, and reporting processes and suggest enhancements.

• Aid in assessing requirements and developing procedures or policies for intricate premium operational necessities.

• Ensure compliance with subsidy-payment processing standards.

• Reconcile and process vendor purchase orders and invoices.

• Implement assigned Sarbanes-Oxley controls and maintain documentation for control testing.

• Create and uphold processes for enrollment-data analysis, reconciliation, and resolution of discrepancies.

• Conduct daily, weekly, and monthly enrollment reconciliations across various systems and partners.

• Investigate transactional errors and enrollment inconsistencies, coordinating resolutions as necessary.

• Generate regular financial and operational reports, including forecasts for premium errors.

• Assist with monthly, quarterly, and annual financial closing activities.

• Analyze enrollment and financial data related to Healthcare Exchange fees, cost-sharing reductions, and premium tax credit payments.

• Collaborate with Finance and Accounting to address discrepancies in financial data.

• Develop and execute billing, enrollment, and financial management processes along with technological solutions.

• Communicate the status of reconciliations, discrepancies, and resolution efforts to partners and leadership.

• Provide support for audits with necessary documentation and analysis.

• Examine trends, control deficiencies, recurring discrepancies, and opportunities for improvement.

• Formulate contingency plans and practical solutions for operational challenges.

• Manage competing priorities while driving measurable enhancements in operational performance and data quality.

⛳️ Requirements

• A Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field is preferred; equivalent professional experience may be accepted.

• A minimum of three years of experience in business within healthcare operations, financial reconciliation, enrollment management, or a similar area.

• Experience in supporting Individual Dental or Individual and Family Plan operations is highly preferred.

• Familiarity with premium billing, enrollment processing, financial reconciliation, discrepancy management, and operational reporting.

• Knowledge of operational controls, audit documentation, and resolution of cross-functional issues.

• Excellent analytical and problem-solving capabilities.

• Strong written and verbal communication skills.

• Ability to organize work, prioritize competing demands, and achieve results.

• Capability to work independently and collaborate effectively with vendors, peers, matrix partners, and leaders.

• Preferred strong influencing and matrix-management skills.

• Proficiency in Microsoft Excel and Access.

• Working knowledge of Microsoft Word, PowerPoint, and Visio is preferred.

• Experience with relational databases, XML, reconciliation tools, and enrollment or billing vendor systems is preferred.

• For remote work, a cable broadband or fiber optic internet service with a minimum speed of 10Mbps download/5Mbps upload is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical, vision, and dental benefits starting on the first day of employment.

• Access to well-being and behavioral health programs.

• 401(k) plan.

• Company-sponsored life insurance.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence available.

• Commitment to a tobacco-free workplace.

• Support for home internet requirements, ensuring eligibility for cable broadband or fiber optic service.