Specifications include, but are not limited to: •Review and analyze the required report filings received by the Managed Care Organizations (MCOs) and provide a summary of review notes and recommendations forthe Supervisor. •Reconcile the Medical Loss Ratio (MLR) quarterly.•Assist with oversight of the MLR audit by third parties and assist with review andcommunication among the parties including the agency, third party CPA firm and theMCOs.•Participate in meetings as needed with the agency, Fiscal agent, actuaries, third partyCPA firm, and other external parties. •Prepare and review financial transactions and letters.•Review and analyze the Quality Incentive Payment Program (QIPP) reports and assistwith the annual presentation.•Assist in preparing and overseeing state directed payments to the MCOs.•Answer questions to the providers related to QIPP and state directed payments, whichmay include additional report preparation
