State of Washington

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Provider Network Analyst (FPA3)

at State of Washington

Posted: 11/29/2019
Job Status: Full Time
Job Reference #: 2504056
Keywords: technical

Job Description

Overall Job Objective

Description



OIC CAREER OPPORTUNITY

This position is being re-posted to expand the candidate pool. If you previously applied for the position, you do not need to reapply.
 
The Office of the Insurance Commissioner's (OIC) Provider Network Unit is seeking motivated and qualified individuals to fill two Provider Network Analyst (Functional Program Analyst 3 (FPA3)) positions in our Tumwater office.

Within the Rates and Forms Division, the Provider Network Oversight Program is composed of two units:  the Provider Contracting Unit and the Provider Network Unit.

How would you like to be a member of a newly developed team that ensures the quality of healthcare provider networks working to protect Washington State residents?  

We are recruiting for the members of our newest team in our Provider Network Unit. The team will perform analytical reviews and evaluations of healthcare provider networks to determine whether healthcare practitioners, facilities, and clinics can fulfill the contractual obligation of insurance contracts. To be a successful candidate for this position you will need to have a strong background in data mining, Excel, Microsoft Power BI or GIS skills and a willingness to learn.
If you are a person who loves to organize and spin data and numbers, build reports, please consider applying for our Provider Network Analyst (FPA3) position. 

This recruitment may be used to establish a qualified pool of candidates for future FPA3 vacancies within the Provider Network Oversight Program in the next six months.
 
AGENCY PROFILE AND VALUES

The Office of the Insurance Commissioner (OIC) operates under the direction of the state's Insurance Commissioner, a statewide elected official.  Our mission is provide consumer protection and regulation of the state's insurance industry. 

With a workforce of approximately 240 employees, we are one of the smaller state agencies in Washington state government and are fortunate to have a stable funding source that does not rely on the state's general fund. 

Because we are a small agency, you will truly get a chance to understand the 'big picture' of what we do and why we do it.  You will also have a chance to get to know your co-workers.

We have high employee satisfaction scores and we value diversity in the workplace. We challenge our employees to continuously improve the way we do business, and to meet and exceed the needs of our customers. 

To learn more about this agency, we invite you to visit our website at http://www.insurance.wa.gov/ and listen to our employees talk about why they love working here.
 
BENEFITS OF WORKING FOR OIC
As an eligible state employee, Washington State offers:
 

  • An outstanding benefits package and retirement plans.
  • Training and development opportunities, including tuition reimbursement.
  • Program for Public Service Loan Forgiveness (if applicable)
  • Free parking at our main office in Tumwater.
  • A stable funding source that does not rely on the state's general fund.
  • The fulfillment of public service.
  • Excellent work-life balance.
  • Commitment to diversity in the workplace and support one another with respect and trust.
  • Free Thurston County InterCity Transit STAR for public transportation.

Duties

  • Compile, organizes, analyzes and interprets healthcare data provided by multiple sources to determine if a health insurance carrier is providing appropriate access to types of numbers of healthcare providers; makes recommendations on findings.
  • Create trend analysis and summaries for decision making purposes .
  • Communicate with insurance companies, attorneys, consumers, and OIC staff regarding network access reports, market availability, laws and regulations.
  • Performs research and analysis for low-impact (simple) network access proposals for consumer inquiries and referrals.
  • Provides analysis and interpretation of technical healthcare data filed within federal binder templates required by the Affordable Care Act certification process to participate on the Health Benefit Exchange.

Qualifications

Required:

  • Bachelor's degree in Public Administration, Business Administration, Social Sciences, or a close related field.
    • Additional relevant experience directly assisting in preparation of monthly, quarterly, and annual data reports for state or federal reporting for assuring compliance with healthcare statutory requirements such as Title X, Medicaid, or Medicare will substitute year for year for higher education.
  • Two years of professional work experience in one or more of the following:
    • Ensuring compliance with governmental statutory and insurance or other regulatory requirements,
    • Professional work with Health & Disability insurance, Self-funded plan, or Provider Relations, or
    • Experience related to healthcare claims payment configuration, credentialing, or utilization process/systems and the relevance on network operations impact.
    • Experience analyzing data using business intelligence software and creating data visualization reports for a variety of audiences.
  • Intermediate level Microsoft Office Outlook.
  • Intermediate level Microsoft Office Word.
  • Intermediate level Microsoft Excel skills.

Preferred Qualifications of this position include:
  • Working toward or have an industry specific designation such as Certified Health Data Analyst (CHDA) or Registered Health Information Technician (RHIT).
  • Experience drafting, analyzing, researching, or applying the provisions of provider and facility contracting.
  • Intermediate skills in Microsoft Power BI.
  • Previous healthcare analytics experience.

Supplemental Information

How to Apply: Applications for this recruitment will be accepted electronically. Please select the large green "apply" button at the top of this announcement. If you have not done so previously, you will need to set up an account profile.
 
To be considered for this position you will need to answer the supplemental questions, and attach a letter of interest, resume and three professional references. Your letter of interest should describe how your experience, training and education make you a viable and competitive candidate for this position.
 
Contact us: For inquiries about this position, please contact Shelly MacKinder at 360.725.7011.
 
Other Information:
 

  • This position is represented by the Washington Federation of State Employees (WFSE).
  • If a degree or other credentials are listed by the candidate, proof will be required at the finalist stage.  Candidates are encouraged to pre-plan for this.  University degrees must be recognized by the U.S. Department of Education and the Council for Higher Education Accreditation (CHEA) or foreign equivalent
  • Prior to a new hire, a background check including criminal record history will be conducted.  Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the position.
  • If claiming veteran status, please send your DD 214 to recruitment@oic.wa.gov with PNOP-FPA4-DD214 in the subject line. Please do not attach the DD 214 to your application materials.  Please black out personally identifiable data such as social security numbers.
  • The Office of Insurance Commissioner is an equal opportunity employer. Auxiliary aides and services are available upon request to individuals with disabilities.  Please contact the recruiter listed above.
  • If you are having technical difficulties creating, accessing or completing your application, please contact careershelp@des.wa.gov or call 877-664-1960.