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Data Visualization Society · 4 months ago

Senior Provider Network Analyst

Tumwater, WA

Full-time

Hybrid

Senior Level

5+ years exp

The Office of the Insurance Commissioner is seeking a motivated and qualified individual to fill a permanent Senior Provider Network Analyst position. This role involves supervising a team and performing analytical reviews of state-wide healthcare provider networks, ensuring compliance with insurance laws and delivering data-driven insights.

Non ProfitProfessional ServicesSkill AssessmentTraining

Responsibilities

Provides daily direct supervision and development of four (4) professional staff, which includes developing and prioritizing high quality training tailored to the specific needs of each staff member, focusing on succession planning and the cross training of team members

Analyzes data, develops data models, and uses business analytical tools to determine if health insurance carriers are providing access to the appropriate types and numbers of healthcare providers

Develops and produces reports and responses for internal and external customers regarding potential healthcare provider network access gaps

Performs high priority research and analysis for legislative or consumer inquiry and complaint referrals from various units in the OIC

Participates on rulemaking teams and project work groups

Collaborates with Provider Contracting Unit supervisor to ensure information sharing and efficiencies between units

Qualification

Data analysisBusiness intelligence softwareHealthcare provider networksMicrosoft ExcelSupervisory experienceMicrosoft Office WordData visualizationHealth insurance complianceProvider relationsResearchAnalysis

Required

Bachelor's degree in Public Administration, Business Administration, Mathematics, Social Sciences, a health-related field, law, or a closely related field. (Additional professional work experience in the areas identified below, may substitute year for year for the educational requirement.)

Three years of professional work experience in one or more of the following: Ensuring compliance with governmental statutory and insurance or other regulatory requirements

Professional work with Health & Disability insurance, Self-funded plan, or Provider Relations

Experience related to healthcare claims payment configuration, credentialing, or utilization process/systems and the relevance on network operations impact

Experience analyzing data using business intelligence software and creating data visualization reports for a variety of audiences

Two years of supervisory experience or five years as a lead with responsibility for training others

Intermediate skill level in Microsoft Office Word

Intermediate skill level in Microsoft Excel

Preferred

Working toward or have an industry specific designation such as Certified Health Data Analyst (CHDA) or Registered Health Information Technician (RHIT)

Experience drafting, analyzing, researching, or applying the provisions of provider and facility contracting

Advanced skill level in Microsoft Excel