Remote PBM Examiner & Audit Lead

Examination Resources, LLC; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Examination Resources, LLC is seeking an experienced professional to support PBM regulatory examinations and related audits. The role emphasizes leadership, analytical thinking, and precise documentation in a largely remote environment.

The position requires strong research and writing skills, familiarity with NAIC guidelines, and the ability to interact with stakeholders. Travel is occasional, with remote work as a core modality for this role.

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 maybe required (e.g., NAIC National Meetings, in person strategy sessions, etc.).

Skills

PBM audit experience

Leadership experience

Legal research/writing

Communication skills

Time management

MS Office / Adobe Acrobat

Tools

Microsoft Office

Adobe Acrobat PDF

PowerPoint

Job description

Examination Resources, LLC is seeking an experienced professional to support PBM regulatory examinations and related audits. The role emphasizes leadership, analytical thinking, and precise documentation in a largely remote environment.

The position requires strong research and writing skills, familiarity with NAIC guidelines, and the ability to interact with stakeholders. Travel is occasional, with remote work as a core modality for this role.