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Insurance Specialist 4

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Insurance Specialist 4

Salary

$4,099.00 - $8,044.00 Monthly

Location

Baton Rouge, LA

Job Type

Classified

Job Number

LDI-2026-61

Department

Insurance-Commissioner of Insurance

Opening Date

08/25/2026

Closing Date

9/1/2026 11:59 PM Central

• Description

• Benefits

• Questions

About this Job

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 anInsurance Specialist 4 to join the Office of Health, Life & Annuity/Pharmacy Benefit Management (PBM) Enforcement Division. This position performs complex investigations and compliance reviews of pharmacy benefit managers (PBMs), analyzes technical and financial information, and supports regulatory enforcement activities to ensure compliance with applicable state and federal laws and regulations.

The ideal candidate possesses the following competencies:

Core Competencies:

• Developing Plans: The ability to create structured strategies and plans that support the achievement of defined goals and objectives.

• Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.

• Managing Stakeholders: The ability to identify key stakeholders, manage relationships, and align interests to move work forward.

Minimum Qualifications

Six years of experience in insurance, administrative services, investigations, or law enforcement; OR

Six years of full-time work experience in any field plus three years of experience in insurance, administrative services, investigations, or law enforcement; OR

A bachelor's degree plus three years of experience in insurance, administrative services, investigations, or law enforcement; OR

An advanced degree plus two years of experience in insurance, administrative services, investigations, or law enforcement.

EXPERIENCE SUBSTITUTION:

Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Job Specification

The official job specifications for this role, as defined by the State Civil Service, can be foundhere (https://apps01.civilservice.louisiana.gov/onestopjobinfo/DisplayJobSpec.aspx?JobCode=173270) .

Job Duties and Other Information

Job Duties:

As anInsurance Specialist 4 in the Office of Health, Life & Annuity/PBM Enforcement Division, you will/may:

• Conduct complex investigations and compliance reviews of pharmacy benefit managers (PBMs) to ensure compliance with state and federal laws and regulations.

• Review and analyze technical, financial, and operational documentation, reports, and other information submitted by PBMs and related entities.

• Meet with company officials and other stakeholders to gather information and evaluate pharmacy benefit management practices.

• Analyze investigative findings and market information to identify potential violations and compliance concerns.

• Prepare investigative reports and supporting documentation for regulatory and enforcement actions.

• Draft correspondence, notices, and other documents related to enforcement activities, and participate in hearings and related proceedings.

• Maintain current knowledge of state and federal laws, regulations, and regulatory developments affecting pharmacy benefit management.

• Perform other duties related to pharmacy benefit management oversight as assigned.

Position-Specific Details:

Division/Location:Office of Health, Life & Annuity/Pharmacy Benefit Management (PBM) Enforcement Division

Appointment Type:Promotional or Probational

Career Progression: This position will be filled as an Insurance Specialist 4

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

How To Apply:

NO CIVIL SERVICE exam is required to be considered for this vacancy.

To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.

*Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete.

Contact Information:

For further information about this vacancy, contact:

Dr. Phillip Donagriche

Human Resources Division

Louisiana Department of Insurance

P.O. Box 94214

Baton Rouge, LA 70804

Phillip.Donagriche@ldi.la.gov

Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.

Louisiana State Government represents a wide variety of career options and offers an outstanding opportunity tomake a differencethrough public service. With an array of career opportunities in every major metropolitan center and in many rural areas, state employment provides an outstanding option to begin or continue your career.

As a state employee, you will earn competitive pay, choose from a variety of benefits, and have access to a great professional development program:

Insurance Coverage More information can be found at https://info.groupbenefits.org/

Parental Leave– Up to six weeks paid parental leave

More information can be found athttps://www.civilservice.louisiana.gov/Parental-Leave/Default.aspx

Holidays and Leave – State employees receive the following paid holidays each year:

• New Year's Day

• Martin Luther King, Jr. Day,

• Mardi Gras,

• Good Friday,

• Memorial Day,

• Independence Day,

• Labor Day,

• Veteran's Day,

• Thanksgiving Day and Christmas Day.

***** Additional holidays may be proclaimed by the Governor

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement – State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works). These retirement systems provide retirement allowances and other benefits for state officers and employees and their beneficiaries. State retirement systems may include (but are not limited to):

• Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system

• Teacher's Retirement System of Louisiana (www.trsl.org),

• Louisiana School Employees Retirement System (www.lsers.net), among others

01

DP: Developing Plans - How well do you create and organize plans to reach goals effectively?

• I set vague goals, build unstructured plans, misjudge resources, and leave out key details.

• I set clear goals, build logical strategies, and plan tasks with realistic timelines and resources.

• I align SMART goals to priorities, use evidence to guide planning, and build actionable plans with milestones.

• I anticipate risks, adapt plans, connect strategy to execution, and equip others with tools for success.

02

DP: Developing Plans - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

03

MAJ: Making Accurate Judgments - How do you make decisions when faced with choices, risks, or limited information?

• I make reactive or delayed decisions and sometimes overlook risks, priorities, or potential bias.

• I try to weigh options but struggle when there’s uncertainty, competing priorities, or unclear outcomes.

• I make timely, well-reasoned decisions by using available information, context, and trade-offs.

• I make sound decisions in complex situations, lead others through ambiguity, and adapt as new information emerges.

04

MAJ: Making Accurate Judgments - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

05

MS: Managing Stakeholders - How well do you engage and align with key individuals and groups to move work forward?

• I overlook or exclude important stakeholders, delay communication, or mishandle conflict.

• I share limited or outdated information, and my engagement or follow-up may cause misalignment or weaken trust.

• I identify and engage stakeholders based on their role, communicate clearly, resolve issues, and adjust based on feedback.

• I build trust through early, strategic engagement, resolve tensions diplomatically, and strengthen long-term partnerships.

06

MS: Managing Stakeholders - Explain your selection by providing specific examples from your experience. Tip: Use the STAR method (situation, task, action, result) to explain how you have demonstrated this competency. Examples from work, military service, volunteering, education, or other life experiences are all valid.

07

Do you have experience conducting complex investigations, compliance reviews, audits, or regulatory examinations involving insurance, healthcare, pharmacy benefit managers (PBMs), or other regulated entities?

• Yes

• No

08

If you answered "YES" to the question above, describe your experience conducting complex investigations or compliance reviews, including your role and the types of matters reviewed. If you answered "No," enter "N/A."

09

Do you have professional experience analyzing complex technical, financial, operational, or regulatory information to identify discrepancies, trends, risks, or potential violations?

• Yes

• No

10

If you answered "YES" to the question above, describe your experience analyzing complex information and how your analysis supported an investigation, finding, or regulatory action. If you answered "No," enter "N/A."

11

Do you have experience applying laws, regulations, or other regulatory requirements to investigations, compliance reviews, or enforcement activities?

• Yes

• No

12

If you answered "YES" to the question above, describe your experience applying laws or regulations to investigative, compliance, or enforcement matters. If you answered "No," enter "N/A."

Required Question

Employer

State of Louisiana

Address

1201 N 3rd St

Baton Rouge, Louisiana, 70802

Phone

(866) 783-5462

Website

http://agency.governmentjobs.com/louisiana/default.cfm

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