Senior Statutory Accountant

Overview

This role leads statutory accounting and regulatory reporting activities for Medicare and Medicaid health insurance entities. The position ensures full compliance with NAIC Statutory Accounting Principles (SAP), CMS, and state insurance department requirements. It serves as a key point of contact for regulators, auditors, and internal stakeholders.

Responsibilities

• Lead preparation, review, and filing of quarterly and annual NAIC statutory financial statements for Medicare and Medicaid lines of business.
• Ensure ongoing compliance with NAIC SAP, CMS regulations, state insurance laws, and Medicaid managed care requirements.
• Prepare and review complex statutory schedules and exhibits, including premium and membership reporting, claims and medical expense reporting, reinsurance and risk-sharing arrangements, and Risk-Based Capital (RBC) and surplus analysis.
• Monitor statutory capital, surplus, and solvency metrics to ensure regulatory compliance.
• Serve as a primary point of contact for state insurance departments, CMS, and the NAIC.
• Coordinate and support statutory audits, financial examinations, and CMS program audits.
• Prepare formal responses to regulator inquiries, data calls, and examination findings.
• Ensure timely and accurate filing of all regulatory reports and supplemental schedules.
• Interpret and apply complex statutory accounting guidance related to Medicare Advantage and Part D, Medicaid managed care contracts, and programs such as risk adjustment, cost-sharing reductions, and premium stabilization.
• Review journal entries and account reconciliations impacting statutory results.
• Assess statutory accounting implications of new products, contracts, or regulatory changes.
• Partner closely with actuarial, compliance, finance, and government programs teams to validate data inputs and assumptions.
• Collaborate with legal and compliance teams on regulatory interpretations and filings.
• Provide statutory accounting guidance to internal stakeholders and junior staff.
• Maintain and enhance statutory reporting controls, documentation, and governance.
• Identify and implement process improvements and automation opportunities.
• Stay current on emerging NAIC, CMS, and state regulatory guidance affecting Medicare and Medicaid insurers.
• Support enterprise compliance initiatives and regulatory readiness.
• Participate in special projects and perform other duties as assigned.

Qualifications

Licenses and Certifications:

• CPA or CPA candidate preferred

Education:

• Bachelor's Degree in Accounting or Finance required

Work Experience:

• Minimum 7 years of accounting experience, including significant statutory insurance accounting experience required
• Deep knowledge of NAIC SAP, health insurance regulations, and government-sponsored health programs required
• Hands-on experience with statutory filings for Medicare Advantage, Part D, and/or Medicaid managed care entities required
• Strong experience interacting with regulators and external auditors required
• Prior experience with CMS reporting and audits preferred
• Experience with multi-state health insurance operations preferred
• Familiarity with statutory reporting systems and NAIC filing tools preferred
• Expert understanding of statutory accounting and regulatory compliance required
• Strong judgment and ability to interpret complex regulatory guidance required
• Excellent written communication skills for regulator correspondence required
• Ability to manage high-risk deadlines in a regulated environment required
• Leadership mindset with the ability to mentor and review work of others required

Compensation & Benefits

• Salary range: USD $98,200.00 - USD $130,800.00 per year
• Referral bonus opportunities
• Generous paid time off starting at 30 days plus 9 company holidays
• Health insurance plans including Medical, Dental, Vision, Life, and Disability coverage for employees and their families
• Employer-matched retirement savings funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth, career advancement, internal mobility, and continuing education credits

Location

Position location details are not specified.