State of Washington · 2 weeks ago
Functional Program Analyst 3 (FPA3)
Walla Walla, WA
Full-time
Hybrid
Mid, Senior Level
$5,137/mo - $6,906/mo
6+ years expThe State of Washington's Office of the Insurance Commissioner is seeking a Functional Program Analyst 3 (FPA3) to support the Provider Network Oversight Program. This role involves reviewing health care provider contracts to ensure compliance with insurance laws and collaborating with various stakeholders to facilitate contract approval.
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Responsibilities
Independently review and analyze health carrier provider and facility contracts, contract amendments, leasing agreements, compensation exhibits, and single case agreements to determine compliance with Washington state insurance laws, federal laws, regulations, and applicable case law
Perform objective, unbiased evaluations of simple to moderately complex provider contracting arrangements, interpreting contract language and contractual relationships to assess legal and regulatory compliance
Apply relevant RCWs, WACs, federal requirements, and legal precedent to contract reviews and document findings clearly and accurately
Identify contract provisions that do not meet regulatory requirements and draft clear, well-supported objections and recommendations outlining how contracts can be brought into compliance
Communicate compliance concerns and regulatory requirements to health carriers, providers, attorneys, and third-party filers, and work collaboratively with these parties to resolve issues and reach final disposition on submitted contracts
Consult and collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and other OIC staff regarding contract review issues that may impact network development, network maintenance, or the broader insurance marketplace
Conduct research and provide subject matter guidance related to provider contracting requirements to internal and external stakeholders
Facilitate consistent and uniform contract review standards by discussing regulations, case law, and contract provisions with OIC staff and participating in cross-team coordination
Communicate effectively with internal and external stakeholders regarding the status, requirements, and implications of provider contract reviews
Maintain accurate documentation and records of contract reviews, analyses, correspondence, and final decisions in accordance with OIC procedures and records retention requirements
Perform other related duties and projects as assigned by the supervisor or Program Manager in support of program goals
Qualification
Required
Six (6) years of professional full-time work experience in areas such as contract management, drafting and/or review of legal documents; regulatory examinations, regulatory compliance, 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
Experience using the System for Electronic Rate and Form Filing (SERFF) software program
Intermediate-level skills in Adobe Acrobat Pro
Working toward or having an industry specific designation such as Fellow Life Management Institute (FLMI) or Health Insurance Associate (HIA) or similar
Experience drafting, analyzing, researching, or applying the provisions of health or disability products or provider contracting rules or laws
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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