Health Insurance Market Examiner

Idaho Department of Insurance Opportunity

Applications will be accepted through 11:59 PM MST on the posting end date.

The Idaho Department of Insurance (DOI) (https://doi.idaho.gov/) is searching for a Health Insurance Market Examiner. The selected candidate will play a key role in our Market Oversight Bureau and reports directly to the Market Oversight Bureau Chief.

This position serves as a subject matter expert on health insurance regulations, policies, issues, and trends. The incumbent provides technical expertise related to health insurance to the Department, industry, consumers, and other stakeholders. This position is also involved in a variety of market conduct activities including analysis, investigations, and examinations.

We are looking for an individual who has a deep understanding of the health insurance industry, specifically regarding health insurance and compliance with laws and regulations. Additionally, the ideal candidate will have experience providing compelling customer service and has a desire to protect and assist Idahoans. They will have strong communication skills both verbally and in writing, and experience communicating directly with insurance carriers and consumers.

This position is required to attain a Certified Insurance Examiner (CIE) (https://go-ires.org/designation-programs/aie-and-cie-designation-program/) designation through the Insurance Regulatory Examiners Society within a reasonable amount of time after hire.

HOW TO APPLY:

In addition to filling out the associated application, APPLICANTS MUST ATTACH AND SUBMIT:

• A cover letter – detailing your position-related background and experience, including identifying how you specifically meet the listed minimum qualifications

• A resume – relevant to this position

EXAMPLE OF DUTIES:

• Act as a liaison regarding health insurance-related issues, on behalf of the director and senior staff of the Department of Insurance (DOI), with consumers, other state agencies, insurance industry representatives, regulators, and federal agencies

• Research and review Idaho Code affecting health insurance to identify and prepare recommendations regarding any changes including impact to the Idaho health insurance industry and Idaho consumers

• Research and review health insurance issues and solutions in other states and jurisdictions for potential applications in Idaho

• Review and provide input into proposals regarding new or revised legislation and rules

• Develop and assist with presenting DOI legislation and rules related to health insurance and related issues

• Represent the DOI Director on various boards, committees, and task forces related to health coverage matters

• Prepare information for and assist in giving presentations to explain applicable rules and proposals

• Develop and maintain effective working relationships with insurance industry representatives, legislators, executive staff, and the public regarding healthcare financing, policies, programs, procedures, and rules

MINIMUM QUALIFICATIONS:

Good knowledge of:

• Health insurance regulation

Typically gained by a Bachelor’s degree in a health-related field, public administration, business law, paralegal studies, English, or another related field; OR at least two (2) years of experience working for a health insurance company, insurance regulatory agency, or related entity.

Experience:

• Giving presentations and speaking to various groups

Typically gained by at least two (2) years of experience where the duty above was a regular responsibility of your role.

• Explaining complex information or issues to individuals with different levels of understanding

Typically gained by at least two (2) years of experience where you were responsible for explaining complex information in an easily understandable way to individuals who may not have the same level of understanding or expertise on the topic.

• Conducting in-depth research on policies, laws, or other complex/technical material

Typically gained by at least one (1) year of experience where the duty above was a regular responsibility of your role.

DESIRABLE CANDIDATES WILL HAVE (not required):

• Professional designations such as the Market Conduct Management (MCM), Associate or Certified Insurance Examiner (AIE/CIE), Associate Professional or Professional in Insurance Regulation (APIR/PIR), or other certifications from America’s Health Insurance Plans (AHIP) and/or Life Office Management Association (LOMA) organizations

• Direct regulatory experience and/or a deep understanding of the insurance industry with an emphasis on health insurance and compliance with laws and regulations

• Familiarity with all types of health insurance, including insurance company operations, insurance, underwriting, claims and sales practices, and insurance producer practices

• Knowledge of Idaho Insurance Code

SUPPLEMENTAL INFORMATION:

• This position is exempt from classified state service and the rules of the Division of Human Resources and the Idaho Personnel Commission.

• Some work-related travel is required by this position.

The mission of the Department of Insurance is to serve and protect Idahoans by equitably, effectively, and efficiently administering the Idaho Insurance Code and the International Fire Code.

The Department of Insurance is in downtown Boise across the street from the state's Capitol Building. Boise, Idaho has consistently received top billing as one of the best places to live in the country! To learn more about Idaho DOI and the important work we do, go to the DOI website (https://doi.idaho.gov/%22%20/t%20%22\_blank) , and follow us on Facebook (https://www.facebook.com/people/IdahoDOI-Speaker/pfbid098kwPLukACpEGXMhW3ca4izbhFriKduK4cJhgyQWrgVyd689uZzEcBDQpB7fe3hhl/%22%20/t%20%22\_blank) , X (Formerly Twitter) (https://twitter.com/IdahoDOI%22%20/t%20%22\_blank) , LinkedIn (https://www.linkedin.com/in/doi-boise-618942160/) , and Instagram (https://www.instagram.com/idahodoi/) !

BENEFITS:

This benefited position enjoys:

• Excellent medical, dental, and vision insurance (https://ogi.idaho.gov/) health plans

• Nationally recognized PERSI (https://www.persi.idaho.gov/) retirement benefits

• Paid sick and vacation leave accrual upon hire

• Paid parental leave (https://dhr.idaho.gov/information-for-state-employees/)

• 11 paid holidays annually

• A healthy work-life balance

• Career growth and professional development opportunities

For additional information related to benefits and/or State programs visit: https://dhr.idaho.gov/StateEmployees/Benefits.html. (https://dhr.idaho.gov/StateEmployees/Benefits.html.%22%20/t%20%22\_blank)

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email [email protected].

Preference may be given to veterans who qualify under state and federal laws and regulations.