Job
Description
The M&R MLR Reporting Manager ensures the integrity of accounting information by reviewing, recording, verifying, consolidating and entering transactions. They will play a critical role in ensuring accurate and timely preparation of MLR filing of the company's financial reports with CMS. If you are a results-oriented professional with a solid background in reporting, we invite you to apply and become a valuable part of our OGA Finance team. Primary Responsibilities: Ensures timely filings or submissions of MLR filings, including, premium and claims, Summary of data, MLR & Rebate calculation, Rebate disbursement, Additional responses, expense allocation. Preparation of Monthly Out of bound balance journals, eGRC requests completion Read and understand the legislation and regulatory requirements that impact your business Cleanup yearly GAAP data and all tagging issues to be fixed Directs and oversees the preparation and distribution of all periodic filings and supporting documents for both internal and external use throughout the year Ensures that reports, filings and documentation comply with company's regulations, professional standards and MLR and GAAP reporting guidelines Confirms that entries, transactions, and accounts are accurately and properly consolidated and are included in internal and external financial statements Advises management of trends and changes in reporting requirements and recommends best approach for any changes in reporting Assess financial reporting software to determine organizational needs, and lead implementation efforts, if warranted Prepare data and other supporting information requests as needed for internal and external audits Ensure internal controls over financial reporting are designed and operating effectively Assist with preparation and updates of accounting policies and procedures as necessary Preparing and/or reviewing schedules, journal entries, and reconciliations as well as assisting with the close and monthly finance review processes Provide support as required to the tax, regulatory team as it relates to the review of contracts Ensure follow regulations, standards, and procedures. Participates in the review/discussion with department and deliverables to ensure accuracy and consistency with MLR filings and internal reports and documents, as well as compliance with CMS guidelines Drive continuous improvement and own the delivery and execution of the required MLR filings and other reporting requirements Assist with month end and quarterly end close processes for M&R contracts Regular Project/Status calls with regulatory and business leaderships Build reports in SAS and Excel for MLR Reporting Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Master or Bachelor Degree in Accounting, Finance or equivalent 9+ years relevant professional experience Experience with financial reporting systems Demonstrated ability to accurately prepare monthly, quarterly and annual reports Solid understanding of U.S. GAAP and Department of Insurance reporting rules and regulations Smartview or SAS Enterprise Guide or Peoplsoft knowledge Solid understanding of SOX, internal controls, auditing practices and principles and best practices in corporate governance Proven solid analytical, problem solving, organizational and project management skills Demonstrated drive and motivation to deliver high quality results based on thorough analysis Proven self-motivated to follow up on issues and pays attention to details Proven excellent written and verbal communication skills Proven solid leadership and influencing skills, including the ability to work collaboratively and effectively with leadership and other teams at all levels in the organization. Proven solid Excel(including VBA) skills and the ability to use Outlook and Word Demonstrated ability to possess sound business knowledge and strong decision-making skills Demonstrated ability to adapt to change and is driven to improve processes
