Medical Economics, Reserves & Actuarial Partnership: Partner with the plan's actuary (in-house or consulting) on premium rate development, rate filings, and financial advocacy with the Wyoming Department of Insurance and CMS, ensure the adequacy and integrity of claims liabilities, including incurred-but-not-reported (IBNR) reserves and premium deficiency reserves, with appropriate documentation and independent review, owns the financial management of medical loss ratio (MLR) and medical cost trend; work with clinical, network, and operations colleagues to manage medical expense and improve forecast accuracy, oversees risk-adjustment revenue integrity, including encounters submission and reconciliation and risk-score accuracy, and monitor minimum-MLR rebate exposure under program requirements, and proactively engages with actuarial team members to analyze complex data patterns, align predictive models with long-term corporate goals, as well as facilitate unified financial insights. Accounting, Controls & Financial Reporting: Oversees the accounting function and the timely, accurate monthly close under both U.S. GAAP and statutory accounting principles (SAP) as promulgated by the NAIC, directs the preparation and filing of statutory financial statements (the NAIC Annual and Quarterly "Orange Book" filings) with the Wyoming Department of Insurance, along with the organization's IRS Form 1120 and other required financial filings with CMS, maintains a strong internal control environment appropriate to the plan's size, and coordinate the external financial, statutory, and single (Uniform Guidance) audits as applicable, serving as the primary liaison to the Board's Finance & Audit Committee.