We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Market Conduct Examiner (Health and PBM) Risk & Regulatory Consulting, LLC (Regulatory Insurance) Work from home-any US location Position Overview The Market Conduct Examiner will be responsible for performing reviews of major insurance companies’ operations, marketing, underwriting, mental health parity quantitative and non-quantitative treatment limits, pharmacy benefit management practices, rating, policyholder service, producer licensing, complaint handling and claims handling processes to verify compliance with states’ insurance statutes and regulations. Specific Duties and Responsibilities (Responsibilities may vary slightly depending on seniority level) - Perform comprehensive, targeted and risk focused market conduct examinations to determine compliance with states’ insurance statutes and regulations on behalf of state insurance departments. - Review and assess insurance company’s documentation and data to determine compliance with states’ insurance statutes and regulations. - Draft examination work papers in an organized manner for supervisory review. - Assist with the preparation of reports, exhibits, and other supporting documentation and schedules that detail a company’s compliance with insurance statutes and regulations and recommend solutions. - Submit draft examination reports and other deliverables for supervisory review. - Recommend/document actions to ensure compliance with insurance statutes and regulations. - Must possess knowledge of and provide guidance of insurance laws, rules, and regulations. - Review and analyze new, proposed, or revised laws, regulations, policies, and procedures in order to determine compliance with states’ insurance statutes and regulations and interpret their meaning and determine impact to the insurance company. - Analyze reports and records relating to specific and overall operations of insurance companies; prepare clear, complete, concise, and informative compliance reports of condition of insurance companies for supervisory review. - Consistently enhance knowledge of principles, practices, techniques, and methods of insurance examination and regulations; insurance laws and Insurance Commissioner’s rulings; and related Attorney General Opinions and court decisions; insurance company practices; statistical sampling procedures; basic mathematics. - This includes, but is not limited to, analyzing compliance pertaining to review of pharmacy audits conducted by PBMs, spread pricing, pharmacy reimbursement, dispensing fee requirements, annual reports, contract review, financial review, internal and external appeals, claims processing, and network adequacy. - Complete examination work in the required state software platform. - This includes utilizing TeamMate+ and other software platforms as required. - Ensure all deadlines presented by examination workplan schedule and PBM management are met. - This includes, but is not limited to, ensuring all audit deliverables are met timely and accurately, including assisting in client and examinee company point(s) of contact relationships. - Ability to adapt to a fast-paced environment. Requirements - Bachelor’s Degree in Business, Risk Management, Accounting or Finance; MBA and/or professional certification/s preferred - Minimum of 5+ years insurance experience with a State or Federal agency, insurance company, examination firm or with a public accounting firm as an internal or external auditor, adjuster, compliance professional or examiner. - Insurance industry experience is a must. - Candidates must have completed or are pursuing professional insurance designations such as AIE/CIE, MCM, AIRC, FLMI, CPCU, or CLU. - PC skills, including experience in using software for producing presentations, spreadsheets, and project planning (skilled in TeamMate, ACL/Access, and MS Excel, Word and Power Point). - Demonstrated history of project management experience. - Ability to interact with all levels including executives and senior managers. - Strong interpersonal, presentation, analytical and examination/audit skills. - Excellent organizational skills and the ability to prioritize multiple tasks, projects and assignments using effective time management skills. - Strong written and verbal communication skills are required. - Dynamic/flexible demeanor with exceptional client service skills. - Forward-thinking leader with a collaborative focus who can consult effectively with key constituents and become recognized as a valued resource. - Must be self-motivated, work well independently and possess a sense of urgency. - Skilled in team building and team development. - Flexibility for minimal travel Preferred Qualifications - Strong knowledge of and experience in Health Lines of Business, with an emphasis in the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act (MHPAEA). - Extensive experience with examination software TeamMate. - Moderate experience with ACL. Risk & Regulatory Consulting, LLC (RRC), an affiliate of RSM, is a national, leading professional services firm dedicated to providing exceptional regulatory services to clients. RRC offers services in the following regulatory areas: financial examinations, market conduct examinations, insolvency and receiverships, actuarial services and valuations, investment analysis, reinsurance expertise, market analysis and compliance, and special projects. RRC is a results-oriented firm committed to success that builds long-term relationships with its clients. www.riskreg.com At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/working-at-rsm/benefits. All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at careers@rsmus.com. RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information. At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $69,800 - $132,000 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.

• Own and maintain the Project Delivery System (PDS) as the company’s single source of truth for delivery standards • Ensure the PDS clearly defines what good project delivery looks like across the organization • Maintain standards, workflows, templates, tools, and guidance within the PDS • Ensure standards are organized in a clear, structured, and accessible format • Maintain examples, reference materials, and “go-by” documentation supporting project teams • Support Lessons Learned workshops and project post-mortems • Partner with the QA Manager and delivery teams to identify recurring quality issues and systemic execution gaps • Perform root cause analysis on delivery failures, defects, or process breakdowns • Identify opportunities to improve standards, workflows, or delivery processes • Convert lessons learned into updated PDS standards and process improvements • Track improvement initiatives and ensure changes are implemented into the PDS • Own the governance model for how the Project Delivery System is enforced across the organization • Define what compliance means at each phase gate, role, and discipline • Establish expectations for process adherence, documentation, and execution standards • Partner with QA Manager and delivery leadership to ensure alignment between quality enforcement and process compliance • Identify and address systemic breakdowns in execution, not just isolated non-compliance • Drive accountability for adherence to PDS standards across departments and project teams • Define escalation paths and enforcement mechanisms for non-compliance • Define the measurement framework for Project Delivery System adoption and compliance • Establish KPIs and leading indicators that reflect operational discipline and delivery quality • Design and implement scalable reporting structures and dashboards • Analyze compliance and performance data to identify systemic risks, trends, and improvement opportunities • Provide executive-level visibility into operational maturity and adherence to delivery standards • Partner with the Training & Onboarding team within the BMO

Role Description You will have the opportunity to make a positive impact on the lives of our patients by auditing care records, inclusive of client and caregiver files, in a timely and efficient manner. - Implement audit strategies and plans to assess the quality of care and compliance with regulations. - Support the response to requests from external auditors (e.g., payors or regulators) timely, including quality of care concerns, payor record requests, and re-credentialing audits. - Conduct audits of processes, procedures, and systems to ensure compliance with quality standards and regulations. - Communicate audit findings and recommendations to senior management and other stakeholders. - Work with teams to identify action plans to address audit findings and support implementation of corrective actions. - Build and maintain relationships with internal and external stakeholders, including healthcare providers, regulatory agencies, and patients or clients. - Collaborate with other departments (Operations, HR, Program Enrollment, IT, etc.) to conduct audits. - May support projects and perform other duties as assigned. Qualifications - High School Diploma required. - One (1) plus years of related experience and/or training. - Or equivalent combination of education and/or experience. - Highly detail oriented and organized. - Proficient in Microsoft office packages (Word, Excel, and Outlook). - Understanding of healthcare regulations, laws, and standards, as well as industry best practices and emerging trends strongly preferred. Requirements - Pay: $25-$30/Hourly based on experience - Schedule: M-F 8:00AM-5:00PM - This is a Remote position Benefits - Medical, Dental & Vision Insurance - 401(k) with a 6% match - Paid Time Off - 10 Paid Holidays - Employee Assistance Program - Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!) - Voluntary Term Life and AD&D Insurance - Legal Services Insurance - Short-Term and Long-Term Disability - Accident, Critical Illness & Hospital Indemnity Insurance Company Description We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

• Reviewing supplier documents, specifically legislation compliance reports, declarations of conformity, technical files, bills of materials, components, lists etc. • Peer review of contract documents such as requirements, technical compliance matrices, ITTs etc for legislative requirements • Liaising with programme managers, engineering managers, technical authorities and engineers • Attending meetings with suppliers to help find solutions to issues with supplier documentation • Provide technical guidance to other engineers and support the engineering management team in planning and controlling specialist activities • Work with various engineering teams to improve own levels of domain knowledge and subject matter expertise