Examination Resources, LLC

Examination Resources, LLC seeks a Senior Examiner of PBM Compliance Services to act as PBM Specialist and/or Examiner in Charge on audits for state regulators, following rules, procedures and best practices. The Senior Examiner will oversee the audit process, coordinate with PBM leadership and ensure compliant examinations across jurisdictions. The position offers remote work with periodic travel for meetings and trainings. #J-18808-Ljbffr

Examination Resources, LLC is seeking a Senior Compliance Examiner/Auditor to support comprehensive Medical Loss Ratio (MLR) examinations. The role involves analyzing MLR calculations, rebate distributions, and QA testing of premium and claims data, with emphasis on regulatory compliance under CCIIO/HHS ACA frameworks. Experience in auditing or accounting within healthcare insurance is highly valued. The position is remote, with no travel, and requires strong analytical, interpersonal, and #J-18808-Ljbffr