Regulatory Reporting Manager

  •  

Oklahoma City, OK

Industry: Insurance

  •  

5 - 7 years

Posted 237 days ago

  by    Stephanie Eads

This job is no longer available.

GENERAL SUMMARY

Responsible for preparation of the company?s regulatory reporting.

PRINCIPAL DUTIES & RESPONSIBILITIES

  • Ensures company is compliant with local and federal laws and regulations specific to health insurance companies/health maintenance organizations, including requiredreporting. Communicates relevant updates and information provided by regulating entities to executive management.
  • Responsible for accurate and timely submission off all health plan related reporting, reconciliations, tax and information returns, etc to regulatory and oversight entities, including identification of requiredreporting and maintenance of a schedule detailing such requirements.
  • Responsible for preparation and submission of quarterly and annual statutory reporting to the Oklahoma Insurance Department (?OID?) and to the National Association of Insurance Commissioners (?NAIC?)
  • Responsible for preparation and submission of Medical Loss Ratio reporting to CMS, HIOS, OPM, and other regulatory agencies, as required.
  • Assists with annual bid process for all lines of business, including preparation of requested data and information, interaction with the actuaries, etc.
  • Responsible for preparation and submission of holding company registration forms to the OID
  • Responsible for preparation and submission of Third Party Administrator (?TPA?) annual report to the OID
  • Responsible for annual renewal of TPA license
  • Coordinates preparation and provision of all requested documentation to tax return preparers by established deadlines
  • Ensures that all tax returns and other filings due to the IRS are submitted by established deadlines
  • Reconciles tax returns and otherIRS filings to internal records and documents any discrepancies
  • Coordinates the annual reinsurance renewal
  • Responsible for monthly requiredreporting to reinsurer
  • Monitors reinsurance claim activity and identifies members/claims requiring submission to the reinsurer
  • Monitors HPMS memos and REGTAP notices to determine impact on the Finance Department and initiates action when necessary
  • Maintains familiarity with the Oklahoma Financial Report Act, the Health Maintenance Organization Act of 2003, and other relevant regulatory guidance
  • Assists with preparation for financial examinations performed by the Oklahoma Insurance Department
  • Assists with health plan related audit requests during the annual financial statement audit
  • Other duties as assigned

CREDENTIALS/EXPERIENCE

  • Bachelor's degree in accounting or business administration and a minimum of four years of accounting experience
  • Knowledge of Statutory Accounting Principles preferred
  • Certified Public Accountant designation preferred
  • Public accounting experiencepreferred
  • Tax and/or financial statement preparation experiencepreferred

KNOWLEDGE, SKILLS & ABILITIES

  • Strong spreadsheet skills, as well as general computer and software application operation skills.
  • Proficiency in mathematical skills.
  • Strong organizational, prioritization, and time management skills.
  • Able to research, understand, and apply published guidance to achieve department goals and objectives
  • Able to multi-task, work under pressure and meet requireddeadlines.
  • Strong verbal, listening, and written communication skills.
  • Good interpersonal skills and ability to work well with others.
  • Demonstrates dependability through attendance and adherence to timelines and schedules
  • Displays follow-through on projects and deliverables.
  • Possesses attention to detail.
  • Able to maintain strict confidentiality guidelines.
  • Demonstrates sound judgement and high ethical standards.
  • Able to organize and supervise work of others.