Examination Resources, LLC

Project Manager

• Assist in setting up Market Conduct Examinations for ACA and NSA as well as QPA Audits with Directors, Assistant Directors and Senior Managers
• Assist in the building and maintenance of projects in Monday.com
• Assist in setting up examination and audit documentation, SOP’s, Smartsheet and Reference Documents
• Assist in creating, documenting and implementing workflows for all teams
• Monitor and document influx of work assignments and related information to ensure its accuracy, completeness, and consistency in direct quality control of deliverables
• Perform First Quality and Inventory Check of all production for all projects
• Oversee recommendations for internal process improvements across all projects
• Track project timelines and deliverables in accordance with specifications provided by clients
• Schedule, take minutes and document action steps for internal and external calls and meetings

Project Coordinator

Examiner

• Draft documents necessary for completing projects, such as requests for information (RFIs), criticisms (conclusions of non-compliance), rebuttals to criticism responses, audit outlines and flow charts, and internal communications
• Organize and analyze RFI production, responses to criticisms, correspondence, and other project-related items
• Review and analyze health plan and issuer records, including data and claim files
• Synthesize records-analysis results, applying regulations to demonstrate findings of compliance or non-compliance
• Complete assigned tasks in a timely and accurate manner
• Communicate with and report to the Senior Examiner regarding project progress
• Adapt and implement changes to projects based on team needs
• Perform job duties within a matrix management structure
• Assist with enforcement of federal health insurance regulations, including the No Surprises Act and Transparency in Coverage

Project Coordinator

Market Conduct Examiner