Pharmacist Chief Compliance Officer

About the role

The mission of the Department of Insurance is to enforce the insurance laws and regulations of the state impartially, honestly and expeditiously. The Louisiana Department of Insurance is seeking a qualified professional to serve as the Pharmacist Chief Compliance Officer in the Office of Health, Life & Annuity/Pharmacy Benefit Manager (PBM) Enforcement Division. This leadership position oversees the Department's pharmacy benefit manager compliance and enforcement program by directing investigations, regulatory oversight, market analysis, and enforcement activities to ensure compliance with applicable state and federal laws. The position provides strategic leadership to staff and advises executive leadership on complex regulatory and enforcement matters involving pharmacy benefit managers.

Responsibilities

• Lead and oversee the Pharmacy Benefit Manager (PBM) Enforcement Division by supervising staff, assigning and reviewing work, managing contracts, and ensuring the effective administration of division operations.
• Direct compliance reviews, investigations, audits, and analyses involving pharmacy benefit managers to ensure adherence to applicable state and federal laws, regulations, and Department requirements.
• Review investigative findings, filings, reports, and other compliance information to identify potential violations and recommend appropriate regulatory or enforcement actions.
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Requirements

• Minimum Qualifications: Possession of a current Louisiana license to practice pharmacy plus four years of experience as a licensed pharmacist, which must include one year in the inspection of pharmacies for compliance with a regulatory authority's laws, rules, and regulations.
• Job Specification: The official job specifications for this role, as defined by the State Civil Service, can be found here.
• Job Duties: As the Pharmacist Chief Compliance Officer in the Office of Health, Life & Annuity/PBM Enforcement Division you will/may:
  • Lead and oversee the Pharmacy Benefit Manager (PBM) Enforcement Division by supervising staff, assigning and reviewing work, managing contracts, and ensuring the effective administration of division operations.
  • Direct compliance reviews, investigations, audits, and analyses involving pharmacy benefit managers to ensure adherence to applicable state and federal laws, regulations, and Department requirements.
  • Review investigative findings, filings, reports, and other compliance information to identify potential violations and recommend appropriate regulatory or enforcement actions.
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Qualifications

• Professional experience leading or managing regulatory compliance, investigations, enforcement activities, and supervisory staff involving pharmacies, pharmacy benefit managers (PBMs), health insurers, or other regulated healthcare entities.
• Professional experience directing or overseeing compliance reviews, investigations, audits, or enforcement actions, including presenting cases, participating in administrative hearings, or providing testimony.
• Professional experience preparing reports, executive briefings, regulatory recommendations, or policy and procedure guidance for executive leadership or senior management.
• Professional experience serving as a subject matter expert by providing regulatory guidance or consultation to healthcare professionals, government agencies, executive leadership, or the public.
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Skills

• Strong leadership and supervisory skills.
• Experience in regulatory compliance and enforcement.
• Ability to lead investigations and enforce regulatory actions.
• Proficiency in preparing regulatory reports and briefings.
• Expertise in providing regulatory guidance and consultation.
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Benefits

• Compensation: The salary will be determined based on qualifications and experience within the established pay range.
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Pay

• Salary will be determined based on qualifications and experience within the established pay range.
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Schedule

• Appointment Type: Probational
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