Insurance Supervisor
State of Louisiana
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Benefits offered by this job
Job summary
The Louisiana Department of Insurance is seeking an Insurance Supervisor to join the Office of Health, Life & Annuity/Pharmacy Benefit Management (PBM) Enforcement Division. This role supervises staff, coordinates PBM oversight activities, and supports policy development to ensure effective regulatory oversight of PBMs.
The position requires six years of experience in insurance or related fields, with a background in investigations or law enforcement, and a degree as specified.
Qualifications
- Six years of experience in insurance, administrative services, investigations, or law enforcement.
- Six years of full-time work experience in any field plus three years in insurance, administrative services, investigations, or law enforcement.
- A bachelor's degree plus three years of experience in insurance, administrative services, investigations, or law enforcement.
- An advanced degree plus two years of experience in insurance, administrative services, investigations, or law enforcement.
Responsibilities
- Supervise Insurance Specialists and other staff engaged in PBM oversight activities, including assigning and reviewing work and monitoring performance and technical competence.
- Develop daily work plans and coordinate staff activities to accomplish the goals and directives of the Pharmacist-Compliance Officer.
- Provide guidance, training, and technical support to staff involved in PBM compliance reviews, investigations, market analysis, and enforcement activities.
- Assist in coordinating and conducting complex regulatory matters involving PBMs and related entities, including reviewing findings and supporting investigative and enforcement activities.
- Prepare and communicate investigative findings and develop supporting documentation for regulatory and enforcement actions.
- Assist in developing and maintaining policies, procedures, and best practices related to PBM oversight and compliance.
- Analyze the fiscal and substantive impacts of PBM laws and regulations on the insurance market and assist in identifying opportunities for regulatory improvement.
- Monitor legislation, litigation, research, and state and national trends affecting PBMs and health insurance regulation.
- Assist with the collection and monitoring of Department-ordered fees and assessments related to PBM oversight.
- Perform other duties related to pharmacy benefit management oversight as assigned.
Skills
Education
Job description
The mission of the Department of Insurance is to enforce the insurance laws and regulations of the state impartially, honestly and expeditiously.
The mission of the Department of Insurance is to enforce the insurance laws and regulations of the state impartially, honestly and expeditiously.
The Louisiana Department of Insurance is seeking an Insurance Supervisor to join the Office of Health, Life & Annuity/Pharmacy Benefit Management (PBM) Enforcement Division. This position supervises staff and coordinates daily PBM oversight activities, including compliance reviews, investigations, market analysis, and enforcement actions. The Insurance Supervisor also supports policy development and works closely with division leadership to ensure effective regulatory oversight of pharmacy benefit managers.
The ideal candidate possesses the following competencies:
- Communicating Effectively: The ability to convey information, ideas, and emotions using structured communication methods that promote understanding and engagement.
- Leveraging Technology: The ability to use digital tools, systems, and emerging technologies to improve efficiency and effectiveness.
- Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.
- Managing Stakeholders: The ability to identify key stakeholders, manage relationships, and align interests to move work forward.
- Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well-supported conclusions.
- Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions.
- Working with Financial Information: The ability to interpret financial data, manage financial approvals, and ensure compliance to support informed decisions and promote transparency.
Six years of experience in insurance, administrative services, investigations, or law enforcement: OR
Six years of full-time work experience in any field plus three years of experience in insurance, administrative services, investigations, or law enforcement: OR
A bachelor's degree plus three years of experience in insurance, administrative services, investigations, or law enforcement: OR
An advanced degree plus two years of experience in insurance, administrative services, investigations, or law enforcement.
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.
The official job specifications for this role, as defined by the State Civil Service, can be found here.
Job Duties and Other Information
- Supervise Insurance Specialists and other staff engaged in PBM oversight activities, including assigning and reviewing work and monitoring performance and technical competence.
- Develop daily work plans and coordinate staff activities to accomplish the goals and directives of the Pharmacist-Compliance Officer.
- Provide guidance, training, and technical support to staff involved in PBM compliance reviews, investigations, market analysis, and enforcement activities.
- Assist in coordinating and conducting complex regulatory matters involving PBMs and related entities, including reviewing findings and supporting investigative and enforcement activities.
- Prepare and communicate investigative findings and develop supporting documentation for regulatory and enforcement actions.
- Assist in developing and maintaining policies, procedures, and best practices related to PBM oversight and compliance.
- Analyze the fiscal and substantive impacts of PBM laws and regulations on the insurance market and assist in identifying opportunities for regulatory improvement.
- Monitor legislation, litigation, research, and state and national trends affecting PBMs and health insurance regulation.
- Assist with the collection and monitoring of Department-ordered fees and assessments related to PBM oversight.
- Perform other duties related to pharmacy benefit management oversight as assigned.
Office of Health, Life & Annuity/Pharmacy Benefit Management (PBM) Enforcement Division
Promotional or Probational
This position will be filled as an Insurance Supervisor
The salary will be determined based on qualifications and experience within the established pay range.
For further information about this vacancy, contact:
Dr. Phillip Donagriche
Human Resources Division
Louisiana Department of Insurance
P.O. Box 94214
Baton Rouge, LA 70804
Phillip.Donagriche@ldi.la.gov
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity to make a difference through public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.
As a State Employee, You Will Earn Competitive Pay, Choose From a Variety Of Benefits, And Have Access To a Great Professional Development Program:
More information can be found at https://info.groupbenefits.org/
Up to six weeks paid parental leave
More information can be found at https://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx
State employees receive the following paid holidays each year:
- New Year's Day
- Martin Luther King, Jr. Day,
- Mardi Gras,
- Good Friday,
- Memorial Day,
- Independence Day,
- Labor Day,
- Veteran's Day,
- Thanksgiving Day and Christmas Day.
- Additional holidays may be proclaimed by the Governor
State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.
State Of Louisiana Employees Are Eligible To Participate In Various Retirement Systems (based On The Type Of Appointment And Agency For Which An Employee Works). These Retirement Systems Provide Retirement Allowances And Other Benefits For State Officers And Employees And Their Beneficiaries. State Retirement Systems May Include (but Are Not Limited To):
- Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video to give you more detailed information about their system
- Teacher's Retirement System of Louisiana (www.trsl.org),
- Louisiana School Employees Retirement System (www.lsers.net), among others
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