Market Conduct Examination Chief, Insurance

Full Job Description

Are you interested in taking on a leadership role with an agency whose goal is to protect Pennsylvania’s insurance consumers through fair and effective regulation of the marketplace? If so, consider joining the Pennsylvania Insurance Department, Life and Health Market Actions Division as a Market Conduct Examination Chief. This position is responsible for overseeing a nationwide program that ensures adherence to intricate state and federal health insurance laws and regulations. You will have the opportunity to perform market conduct examinations as well as market oversight reviews and studies, utilizing various regulatory tools to maintain regulatory compliance. Make your career aspirations a reality with our dedicated team of professionals!

Requirements

In this role, you will be supervising and directing activities of the Health Market Conduct Division, including scheduling staff assignments and providing training.

Work involves planning, directing, and supervising various types of Health Insurance market conduct examinations, including complex Affordable Care Act (ACA) and Mental Health Parity and Addiction Equity Act (MHPAEA) exams.

You will be responsible for identifying specific market issues, potential companies to be examined, as well as necessary information and methodology including required documents, to determine compliance by market oversight review.

You will also have the opportunity to represent the Bureau at local and national meetings, presenting information to other states and the U.S.

Department of Labor regarding the Department’s MHPAEA enforcement activities. Additional responsibilities include:

• Supervising the development and alteration of MHPAEA testing tools
• Developing MHPAEA presentations
• Conducting entrance and exit conferences with examined companies
• Overseeing exam penalty calculations
• Conducting settlement meetings with insurer representatives
• Preparing monthly, quarterly, and annual reports

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:00 AM to 4:30 PM, Monday - Friday, with a 60-minute lunch.

Telework: You may have the opportunity to work from home (telework) part-time, up to 3 days per week.

In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania.

If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time.

Additional details may be provided during the interview.

• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

Qualifications

QUALIFICATIONS

Minimum Experience and Training Requirements:

• Two years as an Insurance Market Conduct Examiner 2 (Commonwealth job title or equivalent Federal Government job title, as determined by the Office of Administration); or
• Five years of professional insurance market conduct examination experience and a bachelor's degree; or
• Five years of professional insurance underwriting or investigation experience and a bachelor's degree; or
• An equivalent combination of experience and training that includes four years of professional experience in market conduct examination or insurance underwriting or investigation.

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency.
• You must be able to perform essential job functions.

How to Apply:

Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position.

Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

Failure to comply with the above application requirements may eliminate you from consideration for this position.

Veterans:

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.

Telecommunications Relay Service (TRS):

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce.

The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania.

The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law.

All diverse candidates are encouraged to apply.

Additional Information

• Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.
• You must provide complete and accurate information or:
  • your score may be lower than deserved.
  • you may be disqualified.
• You may only apply/test once for this posting.
• Your results will be provided via email.