PBM Compliance Supervisor – Regulatory Enforcement Leader

State of Louisiana; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Parental Leave

Holidays and Leave

Retirement Benefits

Insurance Coverage

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

Regulatory compliance

PBM oversight

Enforcement actions

Investigations

Policy development

Staff supervision

Education

Bachelor's degree

Advanced degree

Job description

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.