FPA3 - Provider Contract Analyst (Hiring Immediately)
$5,137 - $6,906 per monthPart-time
State of Washington
This recruitment will remain open until July 3, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on June 10, 2026. It is in the applicant's best interest to submit materials as soon as possible. Make a Difference: Protect Consumers & Join Our Dynamic Team! The Office of the Insurance Commissioner (OIC) seeks a qualified individual for the FPA3 - Provider Contract Analyst position. This role is within the Rates, Forms, and Provider Networks Division and is based out of our Tumwater Office. We are an employer of choice! Here's why:
- Meaningful work : Ensure a healthy insurance market & protect Washington consumers.
- Impactful career : Make a daily difference in the lives of countless Washingtonians.
- Small agency, big opportunities : Gain a holistic understanding of our mission and build strong relationships with colleagues.
- Diversity, equity, and inclusion: OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes.
- 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.
- And more! Explore our website for additional benefits:
- 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.
- 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.
- Intermediate-level skills in Microsoft Outlook, Word, and Excel
- 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
- This position is represented by the Washington Federation of State Employees (WFSE).
- Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).
- State law (RCW 48.02.090 5 ) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law.
- 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 with FPA3_8 in the subject line.Please do not attach the DD214 to your application materials. Please black out personally identifiable data such as social security numbers. . click apply for full job details
Vacancy posted 1 day ago
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