NEOGOV · 7 hours ago
Functional Program Analyst 3 – HCBM Analyst
Thurston County – Tumwater, WA
Full-time
Hybrid
Senior Level
$5,137/mo - $6,906/mo
6+ years expNEOGOV is seeking a Functional Program Analyst 3 – HCBM Analyst within the Office of the Insurance Commissioner. This role involves analyzing health care benefit manager contracts to ensure compliance with state and federal regulations, contributing to consumer protection in the insurance market.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Independently analyze and evaluate Health Care Benefit Manager (HCBM), health carrier, provider, pharmacy, and related contract forms to ensure compliance with Washington State insurance laws, regulations, applicable case law, and federal requirements
Review complex contractual documents, including Statements of Work, Business Associate Agreements, base contracts, templates, and amendments, to assess whether legal and regulatory standards are met
Interpret and assess contract provisions governing prior authorization, medical necessity determinations, utilization review, claims processing, provider credentialing, payment methodologies, dispute resolution, appeals, provider network management, and disease or care management activities
Identify compliance issues, deficiencies, or areas of concern and develop clear, well-reasoned recommendations for corrective contract language or action
Apply and interpret relevant RCWs, WACs, and case law to support consistent, legally sound contract reviews and regulatory decisions
Communicate compliance concerns, review findings, and required revisions to health carriers, HCBMs, and third-party filers in a professional, clear, and solution-oriented manner
Collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and OIC colleagues to discuss significant issues, ensure consistency in review standards, and address matters that may impact the broader insurance marketplace
Conduct research and provide subject-matter guidance to internal staff and external stakeholders regarding HCBM contracts, regulatory requirements, and compliance expectations
Support the OIC’s consumer protection mission by helping ensure that regulated entities issue contracts that are fair, transparent, and compliant before entering the marketplace
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
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.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
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.
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.
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.
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
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2025-10-31
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