Senior Analyst, Medical Loss Ratio

Job Summary

A company is looking for a Senior Analyst, Medical Loss Ratio.

Key Responsibilities

• Lead end-to-end Medical Loss Ratio (MLR) reporting activities, ensuring compliance with federal and state regulations
• Manage governance frameworks and documentation standards to maintain audit readiness and compliance
• Monitor MLR performance, assess risks, and coordinate MLR rebate processes with cross-functional stakeholders

Required Qualifications

• Bachelor's Degree in Finance, Accounting, Actuarial Science, Business, Healthcare Administration, Public Health, or a related field; or equivalent experience
• 4+ years of experience in a health plan/managed care environment with involvement in MLR reporting/compliance or regulatory reporting
• Experience with complex analysis using large datasets and producing documentation for regulatory inquiries
• Proficiency with Excel and reporting/analytics tools; familiarity with health plan finance/claims systems
• CPA, CMA, CIA, or other relevant accounting/audit credential preferred