CAREERS

SALARY: $6,757.91 - $7,508.79 Monthly

JOB TYPE: Full Time

LOCATION: Cheyenne, WY - In Office

GENERAL DESCRIPTION:

This individual is responsible for creating and managing all aspects of the Department of Insurance’s pharmacy benefit manager oversight program including creating policies and guidelines based on statutes to handle registration, complaints, and investigations.  This position communicates with pharmacists, pharmacy benefit managers, and insurance companies to ensure compliance with Wyoming law. This position will have supervisory responsibilities over a small to medium-sized staff and is responsible for setting and controlling a budget.

Preference may be given to Pharmacists or technicians with extensive knowledge of pharmacy benefit managers and insurance.

ESSENTIAL FUNCTIONS:  The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.

• Provide the Pharmacy Benefit Manager (PBM) program with oversight and creation. 

• Ensure DOI has adequate resources to handle PBM-related issues. 

• Manage requests for proposal (RFP) process and work with Staff Attorney in contracting with entities for training, investigation, and complaint-related services.

• Manage work product and day-to-day tasks of contractors. 

• Create PBM internal policies and procedures based on Wyoming Law and research from other states for the purposes of licensure, complaints, and investigations related to pharmacy benefit managers.

• Handle the PBM licensing process and oversee all PBM-related complaints. 

• Communicate with insurance companies, PBMs, pharmacists, and stakeholders related to complaints.

• Research, investigate, and examine PBM complaint data and information. 

• Resolve complaints and track data and trends related to complaint issues.

• Provides Technical expertise and information as it relates to all aspects of pharmacy benefit managers.

• Serve in an advisory capacity to company representatives, pharmacists, the Commissioner, and DOI staff on the interpretation of PBM issues. 

• Track and analyze trends related to legislation, complaints, processes, and investigations involving pharmacy benefit managers.

• Research and create consumer and industry-directed outreach and education related to pharmacy benefit manager law, regulation, policies, procedures, and federal law updates.

• Research and create proposed legislation and rules related to pharmacy benefit managers. 

• Represent the DOI and testify at legislative committee meetings, national insurance meetings, and seminars.

• Defines unit goals, and priorities and develops implementation action plans for subordinate staff to maintain the flow of work and timely deliverables. Within the scope of available resources, provides for employee education and development.

• Ensures that quality program compliance, customer service, and correct information are provided to program clients and agency staff.

MINIMUM QUALIFICATIONS:

Education:

Bachelor's Degree (typically in Healthcare)

Experience:

1-3 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Supervisor

OR

Education & Experience Substitution:

4-7 years of progressive work experience (typically in Health Programs) with acquired knowledge at the level of a Health Program Supervisor

TO VIEW THE FULL JOB DESCRIPTION AND APPLY, PLEASE CLICK HERE

SALARY: $6,171.35 - $6,857.05 Monthly

JOB TYPE: Full Time

LOCATION: Cheyenne, WY - Hybrid

GENERAL DESCRIPTION:

The Financial Examiner position monitors the solvency of Wyoming insurance companies by performing risk-focused examinations and financial analysis of insurance companies' annual and quarterly statements.

Preference may be given to applicants who have knowledge of and work experience in insurance regulation.

ESSENTIAL FUNCTIONS:  The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.

• Plans performs, and issues reports of examination of all Wyoming domestic insurance companies in accordance with Wyoming Statutes and NAIC standards for the purpose of monitoring financial solvency and statutory compliance.

• Reviews and gains an understanding of insurer operations, including its corporate governance structure and its enterprise risk management framework through a review of regulatory filings, discussions with Department staff, discussions with company personnel, review of public information, review of industry trends and other sources of information as applicable

• Exercises judgment to identify and assess financial solvency risks facing the company, from both a current and prospective risk perspective.

• Identify relevant controls and/or risk mitigation strategies to address risks identified and perform tests of controls to evaluate their effectiveness, as appropriate.

• Performs and documents the financial analysis of domestic insurance companies in accordance with Wyoming Statutes and NAIC standards for the purpose of monitoring financial solvency.

• Summarizes and documents results of analysis and assessment of risks based on information reviewed as well as communications with the insurer and other regulators.

• Corresponds with company executives, department staff, and other state, federal, or international regulators to investigate issues identified, evaluate company responses, and propose additional regulatory actions if warranted.

• Investigate and determine if the company is in compliance with state laws, rules, regulations, and NAIC standards and guidelines.

• Coordinates and meets with consulting actuaries and insurers' CPA firms.

• Review applications of insurance companies applying for a license in Wyoming for compliance with statutory requirements; make recommendations to approve or deny applications.

• Reviews financial statements, plans of operation, actuarial opinions, CPA reports, contracts, corporate documents, complaints, regulatory actions, holding company act filings, and biographical affidavits.

• Performs annual reviews on insurance companies' premium tax returns to determine proper calculations and payments to the State of Wyoming.

• Performs examinations on pre-need funeral homes and perpetual care cemeteries.

• Responsible for maintaining the Certified Financial Examiner (CFE) designation and/or Certified Public Accountant (CPA) license by attending the appropriate amount of continuing education required.

MINIMUM QUALIFICATIONS:

Education:

Bachelor's Degree (typically in Accounting or Finance)

Experience:

1-2 years of progressive work experience (typically in Accounting or Finance)

Certificates, Licenses, Registrations:

Certification as a Certified Financial Examiner (CFE) or Certified Public Accountant (CPA)

OR

Education & Experience Substitution:

4-6 years of progressive work experience (typically in Accounting or Finance)

Certificates, Licenses, Registrations:

Certification as a Certified Financial Examiner (CFE) or Certified Public Accountant (CPA)

TO VIEW THE FULL JOB DESCRIPTION AND APPLY, PLEASE CLICK HERE

SALARY: $27.13 - $30.14 Hourly

JOB TYPE: Full Time

LOCATION: Cheyenne, WY - Hybrid

GENERAL DESCRIPTION:

This position assists the department in achieving its objective of enforcing the Wyoming Insurance Code by providing assistance to the Staff Attorney, Commissioner, and Deputy Insurance Commissioner with research and preparation of legal documents to include:  enforcement actions against companies and producers; rules and regulations; contracts; and service of process on insurance companies.

ESSENTIAL FUNCTIONS:  The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.

• Prepares legal documents for review by the Staff Attorney.

• Maintains legal files and docket system for the Insurance Department.

• Keeps calendar system for hearing dates, suspensions, and revocation dates for companies and producers and schedules time to answer legal pleadings.

• Assists in legal research of case law, Wyoming Statutes, and Insurance Department Regulations for preparation of legal documents.

• Assists in trial preparation by making copies, exhibits, file preparations, and occasional testimony.

• Prepares new regulations and amendments to regulations, formatted according to specifications set forth by the Secretary of State.

• Follows a strict time frame and notification process for the adoption of amendments and making new regulations.

• Tracks legal actions in other states against Wyoming licensed companies and producers through a database with the National Association of Insurance Commissioners.

• Enters pertinent data into designated computer systems/software programs, reviews, and verifies data.

• Enters pertinent data into the state contract system for developing and tracking agency contracts and keeps a calendar of renewal dates.

• Oversees and coordinates document production; compiles information necessary for reports and case development.

• Prepares written and verbal correspondence with involved parties attorneys and citizens.

• Collects data and drafts an annual report on medical malpractice claims against insurance companies.

• Freedom of Information Act (FOIA) requests and responses.

• Service of Process documentation and correspondence.

MINIMUM QUALIFICATIONS:

Education:

Bachelor's Degree (typically in Paralegal/Legal Studies)

Experience:

0-2 years of progressive work experience (typically in Paralegal /Legal Studies) with acquired knowledge at the level of a Legal Support Specialist

OR

Education & Experience Substitution:

3-5 years of years of progressive work experience (typically in Paralegal /Legal Studies) with acquired knowledge at the level of a Legal Support Specialist

TO VIEW THE FULL JOB DESCRIPTION AND APPLY, PLEASE CLICK HERE

SALARY: $18.56 - $20.62 Hourly

JOB TYPE: Full Time

LOCATION: Cheyenne, WY - In Office

GENERAL DESCRIPTION:

This position performs a variety of administrative support duties by providing Wyoming consumers, insurers, and department staff information and assistance, to achieve the department's overall objective of regulating the business of insurance for the state of Wyoming.

ESSENTIAL FUNCTIONS:  The listed functions are illustrative only and are not intended to describe every function which may be performed at the job level.

• Performs first-line customer service including greeting walk-ins, answering phones, answering inquiries, or directing to the appropriate staff member.

• Explains department policy, procedures, and practices regarding general requests for information.

• Receives, date stamps, and distributes incoming correspondence from walk-in consumers, USPS, UPS, and FedEx, signing for documents as necessary.

• Reviews and processes applications submitted for insurance company changes; including company mergers, redomestications, and name changes.  Ensures all forms, fees, and requirements necessary have been received and reviewed.

• Records in the department's database, Sircon, insurance company amendments to bylaws, amended articles of incorporation, change of company officers and reports of examination.  Determine appropriate fees for companies filing changes.

• Performs initial review of the application for the licensing of new insurance companies.  Includes detailed review of items and appropriate payment of fees required by statute.

• Assists the Policy Review Section by assigning electronic and paper policy form filings in a specialized database program.  Also completes monthly statistical reporting regarding policy filings.

• Resolves problems and makes recommendations for improvements.

• Performs specialized tasks and coordinates general administrative office functions.

• Accurately maintains agency files and records; inputs data into databases.

• Prepares reports; verifies computer systems, databases, and coded data for accuracy.

• Responds verbally and/or in writing to requests for information.

• Screens and corrects documents for procedural compliance; evaluates information for accuracy.

• Performs various functions for staff and administration.

• Provides customer service to consumers, insurers, and staff, acts as a resource, and explains rules and procedures to co-workers, consumers, and/or insurers.

MINIMUM QUALIFICATIONS:

Education:

Associate's Degree (typically in Business)

Experience:

0-1 year of progressive work experience (typically in Business Office Communications) with acquired knowledge at the level of an Office Assistant II

OR

Education & Experience Substitution:

2-4 years of progressive work experience (typically in Business Office Communications) with acquired knowledge at the level of an Office Assistant II

TO VIEW THE FULL JOB DESCRIPTION AND APPLY, PLEASE CLICK HERE