Market Conduct Examiner (Health and PBM)Risk & Regulatory Consulting, LLC (Regulatory Insurance) Work from home-any US locationPosition Overview The Market Conduct Examiner will be responsible for performing reviews of major insurance companies operations, marketing, underwriting, mental health parity quantitative and non-quantitative treatment limits, pharmacy benefit management practices, rating, policyholder service, producer licensing, complaint handling and claims handling processes to verify compliance with states insurance statutes and regulations. This includes, but is not limited to, analyzing compliance pertaining to review of pharmacy audits conducted by PBMs, spread pricing, pharmacy reimbursement, dispensing fee requirements, annual reports, contract review, financial review, internal and external appeals, claims processing, and network adequacy.