Senior Provider Network Analyst

7 days ago

Washington State, United States State of Washington Full time

It is in the applicant's best interest to submit materials as soon as possible.
The Office of the Insurance Commissioner's (OIC) Rates, Forms, and Provider Networks Division is seeking a motivated and qualified individual to fill a Senior Provider Network Analyst (Functional Program Analyst 4) position . This position is located in our Tumwater office.
The incumbent of this position will supervise six (6) 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 networks and identification of compliance issues with Washington insurance law and federal law, including the Affordable Care Act (ACA).
This is a Washington General Service position. The monthly salary range for this position is $5,501 - $7,400.
The Office of the Insurance Commissioner (OIC) operates under the direction of the state's Insurance Commissioner, a statewide elected official. Our mission is to provide consumer protection and regulation of the state's insurance industry. With a workforce of approximately 265 employees, we are one of the smaller state agencies in Washington state government and are fortunate to have a stable funding source that does not rely on the state's general fund. We value diversity in the workplace. To learn more about this agency, we invite you to visit our website at and listen to our employees talk about why they love working here.
We offer a great selection of health and retirement plans , paid leave, and compensation benefits for you and your family.
Washington State Employee Assistance Program .
Leave Sharing , Parental Leave , Family and Medical Leave Act (FMLA) , Leave Without Pay .
Deferred Compensation (supplemental retirement plan).
Training and development opportunities, including tuition reimbursement.
Free parking at our main office in Tumwater.
Flexible work schedules and telework opportunities.
Commitment to diversity in the workplace and support one another with respect and trust.
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.
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.
Providing subject matter expertise regarding the nuances of Washington State's health care system, geographic barriers, and the legal requirements.
Seven (7) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, network management or regulatory 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, network management or regulatory 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.
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, network management or regulatory 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.
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, network management or regulatory 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.
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.

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.
How to Apply : Applications for this recruitment will be accepted electronically. If you have not done so previously, you will need to set up an account profile.
Please provide three (3) professional references on your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies. If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.
The initial screening will be based on the content and completeness of your application and the materials submitted. Your letter of interest should describe how your experience, training and education make you a viable and competitive candidate for this position. Applications with comments such as "see attachments" or "see resume" in the supplemental question responses will be considered incomplete.
General suggestions for creating a good application:
Make sure you are very diligent in following all the application instructions .

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