009110_Director of Health Insurance Regulation

State of VermontCalais, VT
Onsite

About The Position

Join the Department of Financial Regulation (DFR) as it works with other state agencies and stakeholders to transform Vermont's health insurance and health care systems! This complex position is integral to the oversight of health insurance regulatory issues, including issues related to ACA qualified health plans and other health insurance products, third-party administrators (TPAs), and pharmacy benefit managers (PBMs). DFR is seeking an individual with the skills and experience to navigate complex federal and state regulations governing health insurance and related issues and to monitor, research and educate in an evolving landscape. Duties also include supervision of staff, review of external appeals, interaction with other regulators, development of bulletins, industry guidance and DFR policy, legislative testimony and possible travel.

Requirements

  • J.D. AND two (2) years more in the health insurance industry or health insurance regulation.
  • OR Master's degree in business administration, public administration, policy, or law AND two (2) years more in the health insurance industry or health insurance regulation.
  • OR Bachelor's degree AND four (4) years or more in the health insurance industry or health insurance regulation.
  • OR Six (6) or more in the health insurance industry or health insurance regulation or compliance.

Nice To Haves

  • Juris Doctor
  • Master of Public Administration
  • Experience either as an insurance regulator as an insurance compliance officer

Responsibilities

  • Oversight of health insurance regulatory issues, including issues related to ACA qualified health plans and other health insurance products, third-party administrators (TPAs), and pharmacy benefit managers (PBMs).
  • Navigate complex federal and state regulations governing health insurance and related issues.
  • Monitor, research and educate in an evolving landscape.
  • Supervision of staff.
  • Review of external appeals.
  • Interaction with other regulators.
  • Development of bulletins, industry guidance and DFR policy.
  • Legislative testimony.
  • Possible travel.

Benefits

  • 80% State paid medical premium
  • Dental plan at no cost for employees and their families
  • 11 paid holidays each year
  • Generous leave plan
  • State Paid Family and Medical Leave Insurance (FMLI)
  • State defined benefit pension plan
  • Deferred compensation 457(b) plan
  • Tuition Reimbursement
  • Flexible spending healthcare and childcare reimbursement accounts
  • Low cost group life insurance
  • Incentive-based Wellness Program
  • Qualified Employer for Public Service Student Loan Forgiveness Program
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