State of Washington · 6 days ago
Functional Program Analyst 3 (HCBM Contracts Analyst)
Tumwater, WA
Full-time
Onsite
Senior Level
$5,137/mo - $6,906/mo
6+ years expThe State of Washington's Office of the Insurance Commissioner (OIC) is seeking a qualified individual for the Functional Program Analyst 3 (HCBM Contracts Analyst) position. This role involves reviewing, interpreting, and analyzing provider and network management agreements to ensure compliance with state and federal requirements, contributing to the protection of Washington's health care system.
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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
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
A degree in public administration, business administration, law/legal studies, finance 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 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.
Company
State of Washington
Washington state public employees help to create a working Washington built on education and innovation, where all Washingtonians thrive.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Matt Manweller
State Representative
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