Washington State Office of the Insurance Commissioner · 6 days ago
Functional Program Analyst 4 (FPA4 - Lead)
Olympia, WA
Full-time
Onsite
Senior Level
$5,666/mo - $7,622/mo
7+ years expThe Washington State Office of the Insurance Commissioner (OIC) is seeking a qualified individual for the Functional Program Analyst 4 (FPA4 – Lead) position. This role involves leading a team of analysts to evaluate provider network access and ensure compliance with state and federal regulations, ultimately protecting consumers and enhancing the health insurance marketplace.
GovernmentInsuranceQuality Assurance
Responsibilities
Perform direct, hands-on analysis of complex and high-priority provider network access submissions, including Access Plans, Geographic Network Reports, Provider Network Form A, Network Enrollment Form B, and Alternative Access Delivery Reports (Form C)
Independently conduct advanced quantitative and qualitative analysis to identify provider network access gaps, trends, and compliance issues with Washington insurance law and federal requirements, including the Affordable Care Act
Aggregate, validate, and analyze data from multiple internal and external systems to ensure accuracy, integrity, and consistency
Develop and execute data queries and analytical methods to retrieve, manipulate, and evaluate network access data
Produce written analyses, visualizations, and narrative summaries for quarterly and market-level reports on provider network access
Serve as a working subject matter expert on complex network access delivery systems and strategies, contributing directly to analytical products and regulatory decisions
Perform expert-level review and make approval or disapproval determinations on complex, high-impact alternative access delivery requests
Review and refine staff analyses and recommendations and provide substantive technical input before forwarding recommendations to program leadership
Supervise and work alongside a team of Functional Program Analyst 3s, modeling analytical rigor, accountability, and collaborative problem-solving
Assign and prioritize work while remaining actively engaged in unit deliverables to meet timelines and quality expectations
Provide real-time technical guidance, coaching, and mentoring during active reviews and analyses—not just through after-the-fact review
Develop performance expectations, conduct evaluations, and support individual development and training plans
Identify and approve job-relevant, cost-effective training opportunities that enhance both unit capacity and individual skill development
Coordinate with Human Resources and program leadership to recruit, select, and onboard new staff
Make probationary and trial service recommendations, including approval or denial of permanent status
Provide expert technical assistance and guidance to internal and external stakeholders regarding provider network design, access standards, and compliance requirements
Apply in-depth knowledge of Washington’s health care system, geographic access challenges, and legal standards governing care delivery and referrals
Perform peer consultation, quality review, and special projects to support consistent, high-quality provider network oversight
Contribute directly to process improvements, analytical tools, and documentation standards within the Provider Network Oversight Program
Stay current on health care delivery models, regulatory changes, and best practices to strengthen program effectiveness
Qualification
Required
Seven (7) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider 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 five (5) years of demonstrated lead worker experience including regularly assigning, instructing, planning and checking the work of other employees and providing input to supervisor regarding performance
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
Intermediate level in Microsoft Outlook, Word, PowerPoint and Excel
Demonstrated experience working independently, prioritizing work, and meeting multiple conflicting deadlines, including by seeking guidance from leadership
Preferred
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)
Benefits
Comprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much more!
Supportive 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.
Company
Washington State Office of the Insurance Commissioner
The Washington state Office of the Insurance Commissioner, led by Commissioner Patty Kuderer, protects insurance consumers.
201-500 employees
Funding
Current Stage
Growth StageRecent News
2021-12-29
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