Senior Provider Network Analyst

8 hours ago


Olympia, Washington, United States State of Washington Full time
Job Summary

The State of Washington is seeking a highly skilled Senior Provider Network Analyst to join our team. As a key member of our Provider Network Oversight Program, you will be responsible for supervising a team of analysts and ensuring the timely, consistent, and accurate analysis, evaluation, and approval or disapproval of statewide health, vision, and dental plan networks. Your expertise in regulatory compliance with provider network regulations and application to managed healthcare organizations will be invaluable in this role.

Key Responsibilities
  • Conduct job analysis and recommend duties for subordinate job descriptions.
  • Develop performance expectations and conduct performance evaluations.
  • Assign, plan, instruct, and check the work of assigned staff; coach and recognize staff.
  • Determine schedules for assigned staff, including making recommendations.
  • Approve/disapprove requests for outside employment and leave.
  • Recommending or approving/disapproving (as delegated) employee training requests.
  • Conduct supervisory fact-findings into alleged misconduct and/or performance deficiencies.
  • Monitor staff workload and quality of work performed.
  • Provide subject matter expertise regarding the nuances of Washington State's healthcare system, geographic barriers, and legal requirements.

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

Preferred Qualifications
  • 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).


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