[Hiring] Pharmacy Benefit Management Examiner @Examination Resources, LLC

Role Description

The role involves conducting audits and operations within the PBM industry, ensuring compliance with regulations, and leading teams effectively.

Qualifications

• Prior PBM audit or operations experience required.
• PBM industry professionals encouraged to apply (CPBS, CPhT, etc.).
• Experience completing examinations in accordance with NAIC Market Regulation Handbook, or experience as an attorney, accountant, auditor, examiner, or analyst with a state insurance department, public accounting firm, PBM, insurance company, or state/Federal agency preferred.
• Ability to obtain the Certified Insurance Examiner (CIE), Market Conduct Management (MCM), and/or other pertinent designations relevant to the PBM industry, including continuing education requirements.
• Experience leading others.
• Exceptional legal research, writing, and verbal communication skills.
• Strong interpersonal, presentation, analytical, legal, and examination/audit skills.
• Excellent organizational skills and the ability to prioritize multiple tasks with competing priorities, projects, and assignments using effective time management skills.
• Must be self-motivated, work well independently, possess a sense of urgency, and be flexible with directional changes.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook) and Adobe Acrobat PDF.
• Majority of work is anticipated to be completed remotely; minor travel may be required (e.g., NAIC National Meetings, in-person strategy sessions, etc.).

Company Description