Market Conduct Examiner

Examination Resources, LLC

. Draft documents necessary for completing projects, such as requests for information (RFIs), criticisms (conclusions of non-compliance), rebuttals to criticism responses, audit outlines and flow charts, and internal communications .

Posted 9/16/2026full-timeRemote • United StatesJuniorMid-Level💰 $75,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in health insurance compliance and auditing, with strong analytical skills to interpret regulations and synthesize findings. Proficient in managing multiple projects and communicating effectively within a matrix management structure.

Highest-signal resume keywords

Health Insurance ComplianceRegulatory AnalysisAuditing ExperienceMicrosoft Office ProficiencyMCM or AIE Designation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Document DraftingData AnalysisRegulation InterpretationProject ManagementCritical Thinking

Soft Skills

Excellent Written CommunicationExcellent Oral CommunicationTime ManagementSelf-MotivationCurious Mindset

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft OutlookAdobe Acrobat PDF

Certifications & Qualifications

Market Conduct Management (MCM)Accredited Insurance Examiner (AIE)Certified Insurance Examiner (CIE)

Industry Keywords

Insurance Regulatory ComplianceFederal Health Insurance RegulationsNo Surprises ActTransparency in CoverageAudit Outlines

About the role

Key responsibilities & impact

Draft documents necessary for completing projects, such as requests for information (RFIs), criticisms (conclusions of non-compliance), rebuttals to criticism responses, audit outlines and flow charts, and internal communications
Organize and analyze RFI production, responses to criticisms, correspondence, and other project-related items
Review and analyze health plan and issuer records, including data and claim files
Synthesize records-analysis results, applying regulations to demonstrate findings of compliance or non-compliance
Complete assigned tasks in a timely and accurate manner
Communicate with and report to the Senior Examiner regarding project progress
Adapt and implement changes to projects based on team needs
Perform job duties within a matrix management structure
Assist with enforcement of federal health insurance regulations, including the No Surprises Act and Transparency in Coverage

Requirements

What you’ll need

Bachelor’s degree or equivalent experience in health insurance or health care Compliance, Audit, or insurance operations
2+ years of insurance regulatory, compliance, or audit experience
Experience reading and interpreting federal and state regulations
Ability to obtain either the MCM or AIE designation issued by Insurance Regulatory Examiners Society (IRES) within 6 months of hire
Critical thinking skills and ability to determine appropriate courses of action
Excellent time management skills
Ability to manage multiple projects, tasks, and changing priorities efficiently
Excellent written and oral communication
Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook) and Adobe Acrobat PDF and the ability to learn and apply new software programs
Ability to perform equally as well when working independently or with a team
Self-motivated and ability to complete tasks with minimal direction
Insurance industry designations such as Market Conduct Management (MCM), Accredited Insurance Examiner (AIE), and/or Certified Insurance Examiner (CIE)
Auditing background
Curious mindset
Excellent Writing
Strong Communication Skills

Benefits

Comp & perks

401(k) and match
Health insurance
Dental insurance
Vision insurance
Life insurance
Paid time off
PTO bonus
Reimbursement towards professional development, phone, and gym membership