The Wisconsin Office of the Commissioner of Insurance (OCI) protects and educates the public by maintaining and promoting a strong insurance industry.

As employees of the State of Wisconsin, OCI staff enjoy the following benefits:

• Generous Paid Time Off (up to 3 weeks’ vacation, 9 holidays, 4.5 personal holidays, and up to 130 hours of sick leave)
• Healthy Work Environment
• Retirement Benefits (participation in one of the nation’s top pension programs!)
• Excellent Health Benefits
• Additional benefits (life insurance, income continuation insurance, commuter benefits, student loan forgiveness, and additional retirement savings programs)

Learn more about the State of Wisconsin’s amazing benefits package here.

Over 85% of employees recommend OCI as a good place to work. Hear what our team members have to say about working for OCI.

This position has potential for a combination of telecommuting and in-person work after an initial training period has been completed. Further details can be discussed during the interview.

Diversity, Equity, Inclusion, and Belonging are core values at DOA that guide how we build our teams, develop our leaders, and create a culture that empowers everyone to be their authentic selves. We believe that when employees are respected and valued for who they are and are accountable for demonstrating that respect to others; it drives greater engagement and collaboration, ignites creativity and innovation, and fosters connection between teams and those we serve.

The vacancy available is within the Market Analysis section in the Division of Market Regulation and Enforcement.

This position is a subject matter expert in Pharmacy Benefit Manager (PBM) operations and has thorough knowledge of insurance company business practices. This position is responsible for developing and effectively conducting high level insurance company market analysis reviews, desk audits, market regulation continuum actions and exams of insurance companies, PBMs, and other licensees. This position conducts analysis and produces both internal and external reports of company data relating to claims, underwriting, marketing practices, complaints, rates and forms, company operations and agent conduct. PBMs, and other licensees. This position conducts analysis and produces both internal and external reports of company data relating to claims, underwriting, marketing practices, complaints, rates and forms, company operations and agent conduct.

Starting salary for the Insurance Examiner- Adv. (07-02) is between $33.00-$38.50 per hour plus excellent benefits. Salary will be determined by applicant qualifications. A 12-month probationary period is required. Pay for current state employees will be in accordance with the State Compensation Plan.

Due to the nature of the position, OCI will conduct background checks on applicants prior to selection. OCI does not sponsor visas and is not an eligible OPT employer for those with F1 visas. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States, and to complete the required employment eligibility form upon hire.

This position has potential for a combination of telecommuting and in-person work after an initial training period has been completed.

Qualified candidates will have experience in:

• Pharmacy Benefit Manager operations, including but not limited to:
  • Federal and Wisconsin regulatory requirements
  • Prescription Drug benefits
  • Rebate procedures
  • Formulary Management procedures
  • Prescription claims processing
  • Insurer, Pharmacy and Pharmacy Services Administrative Organization (PSAO)
  • PBM pricing
• Conducting detailed review and analysis of a sensitive nature such as reviewing compliance and audit reports and/or rate and policy form filings.
• Applying insurance laws and/or regulations to regulatory compliance issues

In addition, more than qualified candidates will also have:

• Experience with analytical tools such as Excel or Tableau
• Effective communication skills
• Experience developing workflows or procedures

Apply online! To apply, click “Apply for Job” to start the application process. Then, you will access your existing account or to create a new account if you don’t have an account. Once you are logged in, click “Apply for Job.” Follow the steps outlined in the application process and submit your application. Please visit the Frequently Asked Questions section for general wisc.jobs user information and technical assistance.

Your letter of qualifications and resume are very important parts of your application and are used during our evaluation process to determine your qualifications as they relate to the job. Please review instructions on developing your resume and letter of qualifications. Your cover letter is limited to a maximum of two (2) typed pages, single-spaced, no smaller than 10-point font, with 1-inch margins. Resumes should be limited to no more than two (2) pages (no format requirements). Pages more than the specified limits may not be evaluated. References are not necessary at this stage of the process.

Submitted materials will be evaluated and the most qualified applicants will be invited to participate in the next step of the hiring process for available vacancies.

Permanent classified state employees who are eligible for consideration (transfer or voluntary demotion) should complete the application process as described above by the stated deadline.

The State of Wisconsin is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce. Veterans, women, people of color, LGBTQIA , and people with disabilities are encouraged to apply. We provide reasonable accommodations to qualified applicants and employees with disabilities.

If you are a veteran with a 30% or greater service-related disability and are not currently employed in a permanent position with Wisconsin State Government, please send a cover letter, resume, DD-214 and documentation of your service-connected disability rating (dated within 12 months) to the contact listed below.

Questions can be directed to Pilar Blomquist at pilare.blomquist@wisconsin.gov or715-831-3220.

Applicant materials are due by 11:59 p.m. Monday May 20, 2024.