The role involves performing comprehensive market conduct examinations to ensure insurance companies comply with state statutes and regulations regarding health and pharmacy benefit management
Job Summary
The role involves performing comprehensive market conduct examinations to ensure insurance companies comply with state statutes and regulations regarding health and pharmacy benefit management.
Candidates must possess deep knowledge of insurance laws, rules, and regulations, including the ability to analyze new proposed laws and their impact on operations.
RSM offers a competitive compensation package ranging from $69,800 to $132,000 with a discretionary bonus and flexible work-from-home options across the US.
Matching Summary
The role involves performing comprehensive market conduct examinations to ensure insurance companies comply with state statutes and regulations regarding health and pharmacy benefit management.
Salary
Base: $69,800 - $132,000; Bonus: Discretionary based on performance; Benefits: Competitive package with schedule flexibility
Skills & Requirements
Must-have
5+ years insurance experience
State or federal agency background
Knowledge of insurance laws and regulations
Experience with TeamMate software
Health lines of business expertise
Mental Health Parity Act knowledge
Nice-to-have
Professional insurance designations like AIE/CIE
Strong project management skills
Ability to work independently in remote setting
Excellent client service orientation
Experience with ACA and MHPAEA
Key Requirements
Bachelor's degree in Business, Risk Management, Accounting, or Finance
Minimum 5+ years of insurance industry experience
Pursuing or completed professional designations (AIE, CIE, MCM, etc.)
Proficiency in TeamMate, ACL/Access, and MS Excel
US citizenship or permanent resident status required