Senior Provider Network Analyst

This recruitment will remain open until November 17, 2024. The agency reserves the right to make a hiring decision at any time after the initial screening date on October 30, 2024. It is in the applicant’s best interest to submit materials as soon as possible.

OIC CAREER OPPORTUNITY

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).

If you're interested in a dynamic career that protects consumers' interests and promotes a healthy business environment in this state, please apply and become part of our dynamic team.

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.

AGENCY PROFILE AND VALUES

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.   Because we are a small agency, you will truly get a chance to understand the 'big picture' of what we do and why we do it. You will also have a chance to get to know your co-workers.

We value diversity in the workplace. We challenge our employees to continuously improve the way we do business and to meet and exceed the needs of our customers.   To learn more about this agency, we invite you to visit our website at http://www.insurance.wa.gov/ and listen to our employees talk about why they love working here. 

BENEFITS OF WORKING FOR OIC

Washington State offers one of the most competitive benefits packages in the nation. We offer a great selection of health and retirement plans, paid leave, and compensation benefits for you and your family.

Additional Benefits:

• Wellness programs.
• Dependent care assistance.
• Washington State Employee Assistance Program.
• Federal Social Security and Medicare systems.
• Additional Leave; 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.
• Program for Public Service Loan Forgiveness (if applicable)
• Free parking at our main office in Tumwater.
• A stable funding source that does not rely on the state's general fund.
• The fulfillment of public service.
• Excellent work-life balance.
• Flexible work schedules and telework opportunities.
• Commitment to diversity in the workplace and support one another with respect and trust.
• Free Thurston County Transit public transportation.

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.
• Providing subject matter expertise regarding the nuances of Washington State’s health care system, geographic barriers, and the legal requirements.

Required Qualifications: 

• Option 1: 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. 
• 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, 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 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, 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. 

AND

• Two (2) years of supervisory experience or seven (7) years as a lead with responsibility for training others.

In addition to the above required qualifications, the candidate must have the following:

• 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).

How to Apply: Applications for this recruitment will be accepted electronically. Please select the large green "apply" button at the top of this announcement. 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. All information may be verified, and documentation may be required. 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:

• 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 Treese Beckett at recruitment@oic.wa.gov. 

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 DD214_2024-11759 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. 
• The Office of Insurance Commissioner is an equal opportunity employer. Auxiliary aides and services are available upon request to individuals with disabilities. Please contact the recruiter listed above.   
• 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 careershelp@des.wa.gov.