Senior Provider Network Analyst (FPA 4)

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.

Duties

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).