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Provider Network Analyst
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This recruitment will remain open until November 9, 2025. The agency reserves the right to make a hiring decision at any time after the initial screening date on October 23, 2025. It is in the applicants best interest to submit materials as soon as possible.Make a Difference: Protect Consumers & Join Our Dynamic TeamThe Office of the Insurance Commissioner (OIC) seeks qualified individuals for two Provider Network Analyst (Functional Program Analyst 3) positions. These roles are within the Rates, Forms, and Provider Network Division and is based out of our Tumwater Office.We are an employer of choice Heres why:Meaningful work: Ensure a healthy insurance market & protect Washington consumers.Impactful career: Make a daily difference in the lives of countless Washingtonians.Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues.Diversity, equity, and inclusion:OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes.About the PositionAre you passionate about protecting consumers and ensuring fair access to healthcare? We're looking for a driven and detail-oriented professional to step into a key role within the OIC.In this exciting and impactful position, youll independently conduct in-depth analyses of healthcare provider networks, evaluate consumer complaints, and uncover potential access issues. Your work will play a critical role in identifying compliance gaps and ensuring insurers meet both Washington State and Federal laws, including the Affordable Care Act (ACA).By joining our team, youll directly support the OICs mission to protect the public interest and uphold consumer rights, helping ensure that everyone in Washington receives the healthcare access they deserve.If you're ready to make a difference and thrive in a role where your expertise truly matters we want to hear from youThis recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days.This is a Washington General Service position. The monthly salary range for this position is $5,137 - $6,906.Benefits & PerksComprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much moreSupportive work environment: We value diversity, professional growth, and collaborative atmosphere.Wellness programs: Invest in your well-being with on-site resources and initiatives.Work-life balance: Flexible schedules with telework opportunities.Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good.Training & Development: Continuously learn and grow with tuition reimbursement, Public Service Loan Forgiveness, and other programs.Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs.And more Explore our website for additional benefits:https://www.insurance.wa.govThe duties of the position include, but are not limited to:Responsible for compiling, organizing, analyzing and interpreting healthcare data provided by multiple sources to deliver findings through reports and presentations to a variety of sources.Reviews network access reports to create trend analyses and summaries for decision making purposes including disruption analysis for assigned markets and networks.Investigate data to find patterns and trends.Review provider organizations and systems for development of analysis that support the program.Provides analysis and interpretation of technical healthcare dataParticipate as a team member on the binder team providing detailed information to the group regarding issues with the binder filing.Responsible for providing written instructions and guidance to filers regarding objectionable issues with the documents.Performs research and analysis for low-impact network access proposals for consumer inquiries and referrals.To read more about this position and view all duties, clickhere to request a position description.Required Qualifications:Six (6) years* of professional work experience in areas such as Health & Disability insurance, Self-funded plan, or Provider Relations; or experience related to healthcare claims payment configuration, credentialing, or utilization process/systems and the relevance on network operations impact; or experience analyzing data using business intelligence software and creating data visualization reports for a variety of audiences.*A degree in business administration, public health, public administration or related field from an accredited institution whose accreditation is recognized by the U.S. Department of Education or the Council of Higher Education Accreditation, or a foreign equivalent may be substituted for relevant experience. Proof of degree may be required prior to employment. If a degree was awarded outside of the United States, candidates must provide a credential evaluation report.Academic Degree Equivalency ChartDegreeYears of Relevant Experience EquivalencyAssociates Degree2 years of experienceBachelors Degree4 years of experienceMasters Degree 55 years of experienceRequired Knowledge, Skills and Abilities:Intermediate level in Microsoft Outlook, Word, PowerPoint and ExcelDemonstrated experience working independently, prioritizing work, and meeting multiple conflicting deadlines, including by seeking guidance from leadership.Preferred/Desired 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 the provisions of provider and facility contracting.Intermediate level Microsoft Power BI skills with the ability to create reports, extract data design 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.Ready to join us?Learn more about the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working hereWelcome to the OICSubmit your application today and take the first step towards a rewarding career at the OICThis position isrepresented by the Washington Federation of State Employees (WFSE).Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).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.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 applicants suitability and competence to perform in the position.If claiming veteran status, please send your DD 214 to with FPA3_2025-07164in 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, does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at . Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com. 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.Contact us: For inquiries about this position, please contact us at .Compensation details: 29.52-39.69 Hourly WagePIc80647463d0f-29952-38787058RequiredPreferredJob IndustriesOther
