Exam Manager – MLR exams
Examination Resources, LLC$100K – $130K per yearUnited States only
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Position Overview
The Exam Manager / Examiner-in-Charge (EIC) will ensure the successful completion of comprehensive Medical Loss Ratio (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 MLR or healthcare insurance auditing or accounting required. Experience with MLR and rebate requirements, or accounting/auditing in the healthcare, insurance, banking and/or Pharmacy Benefit Management (PBM) industries a plus, highly desired. All work is expected to be completed remotely; no travel required.