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Provider Network Analyst
2 months ago
We are seeking a highly motivated and detail-oriented Provider Network Analyst to join our team at the Office of the Insurance Commissioner (OIC). As a key member of our Rates, Forms, and Provider Networks Division, you will play a critical role in ensuring the integrity of our healthcare provider networks.
Key Responsibilities- Review network access reports to identify trends and create summaries for decision-making purposes.
- Communicate compliance concerns with insurance companies and/or their third-party filers.
- Present findings of fact in report form.
- Perform multi-layer, integrated analysis of network access templates.
- Participate as a team member on the binder team.
- Use CMS tool resources to review binder data files for compliance.
- Provide written instructions and guidance to filers regarding objectionable issues with the documents.
- 6 years of experience working in the healthcare, insurance, or regulatory field interpreting, analyzing, or reporting on statutory requirements.
- Intermediate level Microsoft Office Outlook, 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 the provisions of provider and facility contracting.
- Intermediate level Microsoft Power BI skills with the ability to create reports, extra data designs, and edit reports.
- Previous healthcare analytics experience directly assisting in preparation of monthly, quarterly, and annual data reports for state or federal reporting for assuring compliance with healthcare statutory requirements such as Title X, Medicaid, or Medicare.
The Office of the Insurance Commissioner (OIC) is a state agency responsible for regulating the insurance industry in Washington state. We are committed to protecting consumers and promoting a healthy business environment. Our team is dedicated to providing excellent service and ensuring that our regulatory processes are fair, efficient, and effective.
Benefits- Competitive salary range: $4,987 - $6,705 per month.
- Excellent benefits package, including health, dental, and vision insurance, retirement plan, and paid leave.
- Opportunities for professional growth and development.
- Collaborative and dynamic work environment.
