Senior Provider Network Analyst
4 weeks ago
We are seeking a highly skilled Senior Provider Network Analyst to join our team at the State of Washington. As a key member of our Provider Network Oversight Program, you will be responsible for supervising a team of Functional Program Analysts and ensuring the timely, consistent, and accurate analysis of state-wide health, vision, and dental plan networks.
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.
- 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.
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).
About Us:
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 and 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:
- 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 include wellness programs, dependent care assistance, Washington State Employee Assistance Program, Federal Social Security and Medicare systems, and more.
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