Senior Analyst, Medical Loss Ratio

Centene

Remote, United States
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Mlr compliance and reporting
Federal and state filings
Cross-functional collaboration
Responsible for leading Medical Loss Ratio (MLR) compliance and reporting activities for assigned lines of business, ensuring accurate calculation, documentation, and timely submission of required federal and state filings

Job Summary

  • Responsible for leading Medical Loss Ratio (MLR) compliance and reporting activities for assigned lines of business, ensuring accurate calculation, documentation, and timely submission of required federal and state filings.
  • Partners with Finance, Actuarial, Legal, and operational stakeholders to interpret regulatory requirements, strengthen controls and audit readiness, identify and mitigate compliance risk, and drive process improvements across end-to-end MLR operations.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Matching Summary

Responsible for leading Medical Loss Ratio (MLR) compliance and reporting activities for assigned lines of business, ensuring accurate calculation, documentation, and timely submission of required federal and state filings.

Salary

Base: $87,700.00 - $157,800.00 per year; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • MLR compliance and reporting
  • federal and state filings
  • cross-functional collaboration
  • regulatory requirement interpretation
  • process improvement
  • data analysis and reconciliation

Nice-to-have

  • strategic risk mitigation
  • stakeholder consultation and training
  • driving operational efficiency

Key Requirements

  • Bachelor's Degree or equivalent experience
  • 4+ years health plan/managed care experience
  • Experience applying MLR concepts and regulations
  • Experience performing complex analysis on large datasets
  • Experience leading cross-functional work efforts
  • Proficiency with Excel and reporting/analytics tools
  • Authorized to work in the U.S. without sponsorship

Work Rights

Authorized to work in the U.S. without sponsorship

Tailored Resume

Cover Letter