The MLR Examiner-in-Charge (EIC) will ensure the successful completion of comprehensive MLR Examinations in accordance with the procedures and processes developed by the Center for Consumer Information and Insurance Oversight (CCIIO), a division of the Department of Health and Human Services (HHS) responsible for implementation of the Affordable Care Act (ACA). Examinations may also be performed on behalf of various state insurance departments.  Experience with healthcare and/or insurance accounting/auditing highly desired. Experience with MLR and rebate requirements, or other components of the ACA, a plus, but not required. All work is anticipated to be completed remotely; no travel required.

• Oversee work streams and staff examiners; maintain exam/project schedule.
• Manage interactions and communications with examinee company point(s) of contact.
• Supervise multiple examiners; provide guidance and assistance as needed.
• Complete MLR examination procedures to supplement work of other staff, as necessary.
• Perform detailed reviews of examination work papers completed by other staff, ensuring accurate and organized work papers are prepared in accordance with the expectations of federal and state government clients, as applicable.
• Provide input on performance for those examiners supervised.
• Manage the analysis of premium and claims data through the use of ACL in order to select samples, extract information and create reports, as applicable.
• Obtain continuing education, as required, for all credentials and designations.
• Ability to adapt to a fast-paced environment.