Market Conduct Examiner

Job not on LinkedIn

🔥 8 hours ago

🇺🇸 United States – Remote

💵 $75k - $95k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Examination Resources, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2002

💼 Consulting

🛡️ Insurance

🏛️ Government

Consulting • Insurance • Government

Examination Resources, LLC is a woman-owned regulatory consulting firm (WOSB) that delivers specialized, regulator-only consulting services to state and federal insurance regulators across the U. S. Since 2002, ER has focused on insurance oversight and consumer protection, offering actuarial and financial analysis, financial examinations, health consulting, IT consulting, market conduct reviews, MLR and PBM compliance, receivership and other specialized regulatory services. The firm emphasizes avoidance of conflicts of interest by serving only regulators, is an approved GSA vendor, and highlights a track record of 2,500+ projects, 160+ focused talent, and support for 45+ regulators.

📋 Description

• Draft documents necessary for completing projects, such as requests for information (RFIs), criticisms (conclusions of non-compliance), rebuttals to criticism responses, audit outlines and flow charts, and internal communications • Organize and analyze RFI production, responses to criticisms, correspondence, and other project-related items • Review and analyze health plan and issuer records, including data and claim files • Synthesize records-analysis results, applying regulations to demonstrate findings of compliance or non-compliance • Complete assigned tasks in a timely and accurate manner • Communicate with and report to the Senior Examiner regarding project progress • Adapt and implement changes to projects based on team needs • Perform job duties within a matrix management structure • Assist with enforcement of federal health insurance regulations, including the No Surprises Act and Transparency in Coverage

🎯 Requirements

• Bachelor’s degree or equivalent experience in health insurance or health care Compliance, Audit, or insurance operations • 2+ years of insurance regulatory, compliance, or audit experience • Experience reading and interpreting federal and state regulations • Ability to obtain either the MCM or AIE designation issued by Insurance Regulatory Examiners Society (IRES) within 6 months of hire • Critical thinking skills and ability to determine appropriate courses of action • Excellent time management skills • Ability to manage multiple projects, tasks, and changing priorities efficiently • Excellent written and oral communication • Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook) and Adobe Acrobat PDF and the ability to learn and apply new software programs • Ability to perform equally as well when working independently or with a team • Self-motivated and ability to complete tasks with minimal direction • Insurance industry designations such as Market Conduct Management (MCM), Accredited Insurance Examiner (AIE), and/or Certified Insurance Examiner (CIE) • Auditing background • Curious mindset • Excellent Writing • Strong Communication Skills

🏖️ Benefits

• 401(k) and match • Health insurance • Dental insurance • Vision insurance • Life insurance • Paid time off • PTO bonus • Reimbursement towards professional development, phone, and gym membership