Senior Manager Medical Loss Ratio

Job Summary

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

Key Responsibilities

• Oversee the Medical Loss Ratio (MLR) reporting calendar and ensure timely, accurate submissions to CMS and state regulators
• Lead cross-functional teams to resolve issues and ensure compliance with federal and state MLR requirements
• Monitor MLR performance, assess risks, and implement corrective action plans in collaboration with business owners

Required Qualifications

• Bachelor's Degree in Finance, Accounting, Actuarial Science, Business, Healthcare Administration, Public Health, or a related field; or equivalent experience required
• 6+ years of people leadership experience, including responsibility for coaching and developing talent
• Experience interpreting and applying federal and state MLR guidance and ensuring documentation quality for audits
• Advanced experience with Excel and reporting/analytics tools required
• CPA, CMA, CIA, or other relevant accounting/audit credential preferred