Market Conduct Examiner (health And Pbm)

Risk & Regulatory Consulting, LLC

Remote, US
Base: $69,800 - $132,000; bonus/equity: discretion...
Remote
Perform market conduct examinations
Review insurance company documentation
Draft examination work papers
Risk & Regulatory Consulting, LLC is seeking a Market Conduct Examiner to perform compliance assessments of insurance companies' operations and practices, particularly relating to health insurance and pharmacy benefit management. This remote position requires extensive insurance experience, strong analytical skills, and the ability to work independently

Job Summary

  • Perform comprehensive, targeted and risk focused market conduct examinations to determine compliance with states’ insurance statutes and regulations on behalf of state insurance departments.
  • Review and analyze new, proposed, or revised laws, regulations, policies, and procedures in order to determine compliance with states’ insurance statutes and regulations and interpret their meaning and determine impact to the insurance company.
  • At RSM, we offer a competitive benefits and compensation package for all our people.

Matching Summary

Match Score: 85

Risk & Regulatory Consulting, LLC is seeking a Market Conduct Examiner to perform compliance assessments of insurance companies' operations and practices, particularly relating to health insurance and pharmacy benefit management. This remote position requires extensive insurance experience, strong analytical skills, and the ability to work independently.

Salary

Base: $69,800 - $132,000; Bonus/Equity: Discretionary bonus based on firm and individual performance; Benefits: Competitive benefits package

Skills & Requirements

Must-have

  • Perform market conduct examinations
  • Review insurance company documentation
  • Draft examination work papers
  • Analyze insurance laws and regulations
  • Experience with PBM practices
  • Utilize TeamMate+ software

Nice-to-have

  • Adapt to fast-paced environment
  • Forward-thinking leader
  • Skilled in team building
  • Exceptional client service skills

Key Requirements

  • Bachelor’s Degree in Business, Risk Management, Accounting or Finance
  • Minimum of 5+ years insurance experience
  • Professional insurance designations preferred
  • PC skills including TeamMate, ACL/Access, MS Excel, Word and Power Point
  • Demonstrated history of project management experience

Work Rights

Not specified

Tailored Resume

Cover Letter