Regulatory Expert for Pharmacy Benefits

4 weeks ago


Albany, New York, United States StateJobsNY Full time

Job Summary:

The New York State Department of Financial Services is seeking a highly skilled Regulatory Expert for Pharmacy Benefits to lead the Pharmacy Benefits Unit. As a key member of the Health Bureau, this individual will oversee the day-to-day operations of the unit and staff responsible for licensing and supervising Pharmacy Benefits Managers (PBMs) operating in the state.

Key Responsibilities:

  • Manage the drafting of regulations and regulatory filings necessary to implement Article 29 of the Insurance Law and other relevant statutes.
  • Lead the Pharmacy Benefits Unit to implement the State's pharmacy benefits and drug pricing legislation, including creating, obtaining approval for, and executing a phased staffing plan to bring needed experts into the Department.
  • Provide guidance and expertise on pharmacy and drug pricing related legislative proposals.
  • Oversee the design and implementation of new systems to support the PBU, including licensing and supervision of PBMs, tracking spikes in drug prices, and other subject areas addressed by the PBU.
  • Coordinate and work collaboratively with the Health Bureau, Executive leadership, other DFS units and bureaus, including the Office of General Counsel.
  • Participate in outreach to other NYS agencies, regulators in other states, federal partners, and the public on PBM issues.

Requirements:

A bachelor's degree or higher (JD preferred) and at least 5 years of experience in the insurance or financial services industry are required. Strong project management skills, including experience managing many time-sensitive, complex projects simultaneously, are essential for this role.

Why Work for StateJobsNY?

StateJobsNY offers a dynamic and inclusive work environment, with opportunities for professional growth and development. As a member of our team, you will have the chance to make a meaningful impact on the lives of New Yorkers and contribute to the Department's mission of building an equitable, transparent, and resilient financial system.



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