State of Iowa

The State of Iowa, otherwise known as the "Hawkeye State," was the 29th territory inducted into the United States in 1846. Located in the American Midwest, also

Pharmacy Benefit Manager Examiner 1

ComplianceComplianceFull TimeRemoteLeadCompany Site

Location

United States

Posted

1 day ago

Salary

$65.5K - $101.5K / year

Seniority

Lead

InsuranceFinancial AnalysisMicrosoft OfficeGoogle WorkspaceMarket Conduct ExaminationData AnalysisContract Analysis

Job Description

Role Description

The Iowa Insurance Division’s Market Regulation Bureau is seeking an Insurance Examiner 1 to oversee regulation of pharmacy benefit managers (PBMs) and related entities. The Insurance Examiner 1 will be responsible for the following:

  • Perform market conduct examinations and analysis related to Pharmacy Benefit Managers.
  • Conduct interviews and hold discussions with regulated entities, individuals and policyholders.
  • Respond to requests for general information regarding insurance law requirements and administrative rules.
  • Analyze, evaluate and interpret contracts, written agreements and facts, such as insurance policy provisions and legal contracts.
  • Prepare and analyze financial statements and market data call reports.
  • Determine fair treatment of policyholders and claimants.
  • Participate in state, multi-state or state-federal task forces and committees.
  • Maintain compliance with the National Association of Insurance Commissioners (“NAIC”) Market Regulation Certification Program.

Qualifications

  • A strong foundation in health insurance or pharmaceutical related areas or ability to acquire this skill set.
  • Attention to detail.
  • Ability to meet critical timeframes.
  • Intellectual and conceptual ability to think critically in order to make decisions, which includes measuring, calculating, reasoning, analyzing, prioritizing and synthesizing data.
  • Maintain effective, respectful working relationships with regulated entities and individuals, trade associations, and legislators.
  • Complete multiple tasks accurately and within assigned periods.
  • Ability to document adequate notes to record actions and the information gathered to document work performed.
  • Proficient in use of personal computers, peripheral equipment and various software packages, including the Microsoft Office Suite and Google platforms.

Requirements

  • Graduation from an accredited four-year college or university with a degree in insurance, accounting, actuarial science, risk management, finance, or business.
  • A total of four years of education and/or full-time experience, where thirty semester hours of accredited college or university course work in insurance, accounting, actuarial science, risk management, finance, or business equals one year of full-time experience in insurance industry examination, financial analysis, quality assurance, enterprise risk management, or corporate governance.

Benefits

  • Iowa Public Employees Retirement System (IPERS)
  • Retirement Investors Club (RIC)
  • Health, Dental and Vision Insurance
  • Vacation and Sick Leave
  • Paid Holidays (9 days/year)
  • Hybrid Telework opportunities

Job Requirements

  • A strong foundation in health insurance or pharmaceutical related areas or ability to acquire this skill set.
  • Attention to detail.
  • Ability to meet critical timeframes.
  • Intellectual and conceptual ability to think critically in order to make decisions, which includes measuring, calculating, reasoning, analyzing, prioritizing and synthesizing data.
  • Maintain effective, respectful working relationships with regulated entities and individuals, trade associations, and legislators.
  • Complete multiple tasks accurately and within assigned periods.
  • Ability to document adequate notes to record actions and the information gathered to document work performed.
  • Proficient in use of personal computers, peripheral equipment and various software packages, including the Microsoft Office Suite and Google platforms.
  • Graduation from an accredited four-year college or university with a degree in insurance, accounting, actuarial science, risk management, finance, or business.
  • A total of four years of education and/or full-time experience, where thirty semester hours of accredited college or university course work in insurance, accounting, actuarial science, risk management, finance, or business equals one year of full-time experience in insurance industry examination, financial analysis, quality assurance, enterprise risk management, or corporate governance.

Benefits

  • Iowa Public Employees Retirement System (IPERS)
  • Retirement Investors Club (RIC)
  • Health, Dental and Vision Insurance
  • Vacation and Sick Leave
  • Paid Holidays (9 days/year)
  • Hybrid Telework opportunities

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