• Manage the compliance department functions including periodic monitoring and auditing activities • Provide compliance oversight and execution of key Medical Loss Ratio (MLR) compliance activities • Develop and maintain the MLR compliance oversight program • Identify opportunities to improve business practices and processes • Provide oversight of submission of timely and accurate contract and regulatory Medical Loss Ratio required report deliverables • Conduct periodic Medical Loss Ratio assessments • Assist in the creation and implementation of corrective action plans • Collaborate with Health Plans and States for compliance • Manage consumer and provider communication materials • Support responses to RFPs and new business implementations • Design, implement and improve processes to prevent, detect and respond to Medical Loss Ratio compliance issues • Create and deliver Medical Loss Ratio compliance training