Our Mission
At ManagedCareReporting.com, we believe that regulatory compliance shouldn't be a source of operational friction, but a foundation for excellence. Our purpose is to demystify complex reporting requirements, equipping managed care organizations with the tools and insights needed to file with absolute confidence. We bridge the gap between traditional actuarial rigor and modern, automated data engineering. By empowering teams with validated, transparent workflows, we help them move beyond manual spreadsheet errors and focus on strategic healthcare delivery. We are dedicated to building a more accurate, efficient, and resilient reporting infrastructure for the entire managed care ecosystem.
Four Principles That Define Every Engagement
1. Technical Depth Without Jargon
We speak the language of SQL, schema structures, and actuarial guidelines, translating them into clear solutions. You won't get hand-wavy slides, just robust code and actionable workflows.
2. AI-Enabled, Human-Reviewed
We leverage cutting-edge AI and LLM agents to accelerate data validation and schema mapping. But every output undergoes strict human oversight to guarantee compliance.
3. Regulatory Rigor Without Bureaucratic Bloat
We maintain the highest standards of CMS compliance without introducing unnecessary processes. Our engagements are lean, focused on output, and free of agency overhead.
4. Executive Clarity + Practitioner Precision
We provide reporting and summaries that give leadership complete peace of mind. Simultaneously, we supply the code, queries, and details that your technical team needs.
Deep Regulatory Subject Matter Expertise.
Marcus Sterling has spent over fifteen years at the intersection of actuarial science, data engineering, and managed care policy. Prior to founding ManagedCareReporting.com, he led regulatory reporting and medical economics teams at major national health plans. In those roles, he oversaw the successful submission of dozens of ACA Medical Loss Ratio (MLR) filings and state Medicaid encounter data packages, witnessing firsthand the operational risks of relying on legacy systems and manual spreadsheets.
Marcus realized that the primary bottleneck in regulatory reporting was not a lack of effort, but a gap in tools. Actuarial and compliance teams were forced to manually clean data, while IT departments lacked the specialized regulatory context to build correct schemas. To bridge this divide, Marcus established ManagedCareReporting.com with a focus on combining deep regulatory subject matter expertise with modern data engineering and AI-driven automation.
Today, Marcus consults for regional and national MCOs, helps actuarial firms modernize their validation pipelines, and builds open-source SQL libraries for encounter data QA. He is a frequent speaker on the practical application of AI in healthcare compliance, advocating for transparent, auditable tools that empower reporting teams to file with absolute precision and peace of mind.
Why Choose a Specialist Over a Large Firm?
A Large Firm
Specialized Depth
Generalist teams staffed by junior analysts learning on your dime.
Hands-on Practitioner Background
Partner sells the engagement; junior staff executes via templates.
AI-native Methodology
Legacy processes bound to manual Excel files and email threads.
Mid-market Accessibility
Enterprise pricing built for top-tier health systems and carriers.
ManagedCareReporting.com
Specialized Depth
100% focused on managed care compliance and reporting from day one.
Hands-on Practitioner Background
Direct engagement with a principal who has done the actual filings.
AI-native Methodology
Modern pipelines utilizing LLMs and automated validation queries.
Mid-market Accessibility
Flexible, outcome-based pricing tailored to regional and local plans.