Senior Compliance Manager

Job Summary

A company is looking for a Senior Manager, Compliance (Medical Loss Ratio).

Key Responsibilities

• Manage compliance department functions, including monitoring and auditing activities to ensure adherence to regulatory requirements
• Oversee the submission of Medical Loss Ratio reports and implement contract changes
• Develop and maintain the MLR compliance oversight program and create compliance training

Required Qualifications

• Bachelor's degree in health care administration, compliance, or related field, or equivalent experience
• 5-7 years of compliance experience, including risk assessment and auditing processes
• 2+ years of Managed Care experience
• Management experience with responsibilities for hiring and staff performance
• Experience in developing and delivering compliance training and education