Pharmacy Benefit Manager (PBM) Market Regulation Consultant
RSM US LLP(2 months ago)
About this role
RSM is hiring a Pharmacy Benefit Manager (PBM) Market Regulation Compliance Consultant to support regulatory-focused consulting engagements related to PBM market conduct and compliance. The role partners with clients and state/federal agencies to deliver examinations, analysis, reporting, and training in the PBM space. This position is based in the USA and is work-from-home with minimal travel as needed.
Required Skills
- PBM Compliance
- Market Regulation
- Contract Review
- MAC Pricing
- NADAC Reimbursement
- Spread Pricing
- Pharmacy Audits
- Network Adequacy
- Data Analysis
- Regulatory Reporting
+4 more
Qualifications
- Bachelor’s Degree in Business
- Bachelor’s Degree in Risk Management
- Bachelor’s Degree in Accounting
- Bachelor’s Degree in Finance
- Certified Insurance Examiner
- Accredited Insurance Examiner
- Market Conduct Management
- Certified PBM Designation
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