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Examination Resources, LLC

Pharmacy Benefit Management Examiner

Posted an hour ago
$95000 - $140K per year
5-10 years experience
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AI Summary

The examiner will conduct PBM audits and examinations in accordance with the NAIC Market Regulation Handbook. They are also responsible for leading others and managing multiple projects with competing priorities.


Required Qualifications

· Prior PBM audit or operations experience required.

· PBM industry professionals encouraged to apply (CPBS, CPhT, etc.).

· Experience completing examinations in according 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 maybe required (e.g., NAIC National Meetings, in person strategy sessions, etc.).

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