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NEOGOV · 6 days ago

Functional Program Analyst 3 (HCBM Contracts Analyst)

Thurston County – Tumwater, WA

Full-time

Hybrid

Senior Level

$5,137/mo - $6,906/mo

6+ years exp

NEOGOV is seeking a qualified individual for the Functional Program Analyst 3 (HCBM Contracts Analyst) position within the Office of the Insurance Commissioner in Washington. This role involves reviewing and analyzing contracts to ensure compliance with state and federal regulations, playing a vital part in maintaining the integrity of the health care system.

GovTechHuman ResourcesInformation TechnologySoftware

Responsibilities

Review and analyze contracts between insurance companies, health care benefit managers, and health care providers (such as hospitals, clinics, and physicians) to ensure they comply with state and federal requirements

Examine complex contract documents—including master agreements, amendments, Statements of Work, and Business Associate Agreements—to identify issues, risks, or non-compliant provisions

Understand and evaluate how different parties (insurers, vendors, third-party administrators, and providers) are connected through contract relationships and how those relationships affect provider networks

Apply laws, regulations, and regulatory guidance to real-world contracts and clearly document your findings and recommendations

Communicate review results and compliance concerns with insurance companies, vendors, attorneys, and third-party filers in a professional and solutions-oriented manner

Work closely with supervisors and team members to discuss complex issues, ensure consistent review standards, and resolve contract questions

Research regulatory requirements and provide guidance to internal staff and external stakeholders related to provider network management and contract compliance

Track contract reviews and outcomes to support timely approvals and accurate regulatory records

Participate in training and assist with other projects or duties as assigned

Qualification

Contract managementRegulatory complianceLegal document reviewMicrosoft ExcelMicrosoft WordMicrosoft OutlookOrganizational skillsCommunication skills

Required

Six (6) years of professional work experience in areas such as contract management, drafting and/or review of legal documents; regulatory examinations, regulatory compliance, claims; or health care benefit plan design, distribution, or administration

Intermediate-level skills in Microsoft Outlook, Word, and Excel

Preferred

Advanced skills and experience in Microsoft Outlook, Excel, and Word

Demonstrated experience organizing work, establishing timelines, and meeting deadlines

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.

Insurance Benefits: Employees and their families are covered by medical (including vision), dental and basic life insurance.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses.

The Washington State Employee Assistance Program promotes the health and well-being of employees.

Retirement and Deferred Compensation: State Employees are members of the Washington Public Employees' Retirement System (PERS).

Public Service Loan Forgiveness: If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.

Holidays: Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Sick Leave: Full-time employees earn eight hours of sick leave per month.

Vacation (Annual Leave): Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165.

Military Leave: Washington State supports members of the armed forces with 21 days paid military leave per year.

Bereavement Leave: Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.