Senior Provider Network Analyst (Functional Program Analyst 4)

This recruitment will remain open until February 23, 2025. The agency reserves the right to make a hiring decision at any time after the initial screening date on February 5, 2025. It is in the applicant’s best interest to submit materials as soon as possible.

Make a Difference: Protect Consumers & Join Our Dynamic Team!

The Office of the Insurance Commissioner (OIC) seeks a motivated and qualified individual for the Provider Network Unit Supervisor (Functional Program Analyst 4) position. This role is within the Rates, Forms, and Provider Networks Division and offers the chance to work from our Tumwater Office.

WHY OIC?

• Meaningful work: Ensure a healthy insurance market & protect Washington consumers.
• Impactful career: Make a daily difference in the lives of countless Washingtonians.
• Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues.
• Flexible work options: Hybrid work opportunities.

About the Position (Brief description of job responsibilities)

The incumbent of this position will supervise four (4) Functional Program Analyst 3s in the Provider Network Unit of the Provider Network Oversight Program. The Senior Provider Network Analyst of the Provider Network Unit ensures the timely, consistent, and accurate independent analysis, evaluation and approval or disapproval of state-wide health, vision, and dental plan participating provider networks and identification of compliance issues with Washington insurance law and federal law, including the Affordable Care Act (ACA).

This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 4 vacancies in the next sixty days.

This is a Washington General Service position. The monthly salary range for this position is $5,501 - $7,400.

Benefits & Perks

• Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much more!
• Supportive work environment: We value diversity, professional growth, and collaborative atmosphere.
• Wellness programs: Invest in your well-being with on-site resources and initiatives.
• Work-life balance: Flexible schedules with telework opportunities.
• Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good.
• Training & Development: Continuously learn and grow with tuition reimbursement. Public Service Loan Forgiveness, and other programs.
• Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs.
• And more! Explore our website for additional benefits: https://www.insurance.wa.gov 

The duties of the position include, but are not limited to: 

• Conducting job analysis and recommending duties for subordinate job descriptions.
• Developing performance expectations and conducting performance evaluations.
• Assigning, planning, instructing, and checking the work of assigned staff; coaching and recognizing staff.
• Determining schedules for assigned staff, including making recommendations.
• Approving/disapproving requests for outside employment and leave.
• Recommending or approving/disapproving (as delegated) employee training requests.
• Conducting supervisory fact-findings into alleged misconduct and/or performance deficiencies.
• Monitoring staff workload and quality of work performed.
• Oversees the development and production of quarterly reports on market level healthcare provider network access.
• Aggregates and analyze multiple data sets across multiple systems to ensure data accuracy, integrity, and consistency. 
• Performs expert level analysis to approve or disapprove high impact (complex) alternative access delivery requests.
• Providing subject matter expertise regarding the nuances of Washington State’s health care system, geographic barriers, and the legal requirements.

To read more about this position and view all duties, click here to request a position description.

Required Qualifications: 

• Option 1: Seven (7) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider network reporting requirements, with provider data repositories, in data analysis, reporting, and the use of data software used for network assessment and reporting such as Quest Analytics, Power BI, or Tableau, and/or strong analytical skills interpreting complex data and decision making to improve network access. 
• Option 2: An associate degree in healthcare administration, business administration, public health, or a health-related field, law, or closely related field AND five (5) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider network reporting requirements, with provider data repositories, in data analysis, reporting, and the use of data software used for network assessment and reporting such as Quest Analytics, Power BI, or Tableau, and/or strong analytical skills interpreting complex data and decision making to improve network access. 
• Option 3: A bachelor’s degree in healthcare administration, business administration, public health, or a health-related field, law, or closely related field AND three (3) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider network reporting requirements, with provider data repositories, in data analysis, reporting, and the use of data software used for network assessment and reporting such as Quest Analytics, Power BI, or Tableau, and/or strong analytical skills interpreting complex data and decision making to improve network access. 
• Option 4: A master’s degree in healthcare administration, business administration, public health, or a health-related field, law, or closely related field AND one (1) year of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider network reporting requirements, with provider data repositories, in data analysis, reporting, and the use of data software used for network assessment and reporting such as Quest Analytics, Power BI, or Tableau, and/or strong analytical skills interpreting complex data and decision making to improve network access. 

AND

• Two (2) years of supervisory experience or seven (7) years as a lead with responsibility for training others.
• Intermediate level Microsoft Office Word and Excel skills.

Preferred/Desired:

• Working toward or have an industry specific designation, such as, Certified Health Data Analyst (CHDA), Registered Health Information Technician (RHIT).
• Experience drafting, analyzing, researching, or applying provisions of provider and facility contracting.
• Expert level Microsoft Excel skills.
• Experience analyzing, researching, or applying the Affordable Care Act (ACA).

Ready to join us?

Learn more about the (POSITION name) position and the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working here! 

Welcome to the OIC  

Submit your application today and take the first step towards a rewarding career at the OIC!

Other Information:

• This position is represented by the Washington Federation of State Employees (WFSE).
• State law (RCW 48.02.090[5]) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law.
• If a degree or other credentials are listed by the candidate, proof will be required at the finalist stage. Candidates are encouraged to pre-plan for this.  University degrees must be recognized by the U.S. Department of Education and the Council for Higher Education Accreditation (CHEA) or foreign equivalent.
• If a degree was awarded outside the United States, candidates must provide a credential evaluation report.
• Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the position. 
• If claiming veteran status, please send your DD 214 to recruitment@oic.wa.gov with 2025-00601 in the subject line. Please do not attach the DD 214 to your application materials. Please black out personally identifiable data such as social security numbers. 
• At the OIC, honoring diversity, equity, and inclusion means that as an agency, and as individuals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe, and supportive working environment. Only by fostering the inclusion of people from all backgrounds, cultures, and attributes, can OIC employees and volunteers achieve their fullest potential and best advance the goals and mission of the agency.
• The Office of Insurance Commissioner is an equal opportunity employer, does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at Recruitment@oic.wa.gov. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com. 
• If you are having technical difficulties creating, accessing (log in, password or email issues) or completing your application (error messages), please call toll-free at (855) 524-5627.
• For general questions regarding applying for jobs, contact the recruiter or Recruitment@oic.wa.gov. 

How to Apply:

1. Create an online account: Go to the job posting and click the big green “Apply” button. You’ll need to set up an account if you haven’t already.
2. Complete your application: Be sure to answer all the questions fully and honestly. Avoid vague answers like “see resume.” This may result in disqualification.

3. Attach your cover letter and resume. Applications that do not include a cover letter and resume or are incomplete will be automatically disqualified.

4. Provide references: List three people who have supervised your work and can vouch for your skills. If you don’t have enough, you can include people like teachers, college professors, or other professional colleagues.

Your application will be evaluated based on how closely your qualifications and experience meet the required and/or preferred qualifications of the position.  Applications missing the requested information or containing incomplete responses may be disqualified and removed from further consideration. 

General suggestions for creating a good application:

• Read the job posting very carefully. Find out as much as you can about the position.
• Make sure you are very diligent in following all the application instructions.  Include all requested documentation. 
• Make sure your application and supplemental question responses address how you meet each of the required and desired qualifications. 

• Carefully read each of the supplemental questions and respond completely to each one. Pay attention to each component of the question, providing examples, and thoroughly describing when and where you achieved the experience. Detail the types of work you performed, the work products, etc., to demonstrate 'how'. 

• Specifically include all your work experiences doing the same or similar work, especially if you reference work in these jobs in describing when/where you gained experience or skills. 
• Make sure your application reflects your best writing.

Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).

Contact us: For inquiries about this position, please contact us at recruitment@oic.wa.gov. 

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