Encounter Data Quality Control Analyst (ITBA-SS/AHSO)

Salary: $92,760.00 - $124,752.00 Annually
Location : Thurston County - Olympia, WA
Job Type: Full Time - Permanent
Remote Employment: Remote Optional
Job Number: 2026-04720
Department: Health Care Authority
Division: AHSO
Opening Date: 06/08/2026
Closing Date: 6/15/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step


Description
Encounter Data Quality Control Analyst (ITBA-SS/AHSO)

71036005

This position is responsible for the quality and validity of encounter data and working with Managed Care Organizations (MCO) and Behavioral Health Administrative Service Organizations (BH-ASO) to ensure accurate and complete data that is used for risk corridors, gain sharing, rate setting and service-based enhancements. This position will also resolve any complex system or payment issues. This analyst uses communication skills as the face of the agency data quality meetings with external health care organizations as well as SQL skills in performing data quality work. If you are a strong facilitator with BABOK experience and an interest in supporting important public health data work in Washington, this may be the opportunity for you!

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

About the division:

ProviderOne is the Health Care Authority's (HCA) mission critical Medicaid Management Information System (MMIS). This large-scale enterprise system is operated and managed within the Apple Health Services and Operations (AHSO) Division, ProviderOne Operations (P1O) section and processes over five million claims/encounters per month and processes payments in excess of $14 billion annually to providers for services to Medicaid clients statewide.

About the position:

This senior-level Encounter Data Quality Control Analyst position resides within the Managed Care Operations and Implementation Unit (MCOIU) and reports to the Policy & Planning - Senior/Specialist, MCOIU Manager. This position is responsible for providing a detailed level of information technology services for the ProviderOne MMIS.

This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions - both on-site and telework eligible positions - is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.

Duties
Some of what you will do:

• Provide subject matter expertise and skilled consultative service for ProviderOne system changes and enhancements.
• Oversee ProviderOne encounter data operations and prioritize, analyze, and address issues
• Within stringent timelines, monitor encounter data submissions and re-submissions from HCA contracted Managed Care Organizations (MCO) and Behavioral Health Administrative Service Organizations (BH-ASO), evaluating encounter data for timeliness, quality, completeness, and validity.
• Engage in discussions at the executive level (with HCA and MCO/BH-ASOs) on possible resolutions to new unfolding business changes.
• Provide direction and oversight to workgroups and staff in order to develop strategy for implementing new solutions and programs.
• Manage and resolve complex subsystem issues that are escalated by staff or the MCO/BH-ASOs. Directs staff on approaches for resolving these issues.
• Liaise and negotiate between the business, stakeholders, and vendor (system integrator) to ensure consistency, understanding, and efficiency in processes and logic.
• Communicate encounter data claims submission requirements with the MCO/BH-ASOs. Provide education and training for these organizations regarding encounter data exchange standards.
• Responsible for maintaining the ProviderOne Encounter Data Reporting Guide including drafting new language as well as managing updates.
• Function as the technical specialist on system functionality, features, system issues, and unresolved system problems
• Provide guidance to junior P1O staff on complex issues.
• Perform IT Business Analysis Body of Knowledge (BABOK) disciplines and related methodologies.

Qualifications
Required qualifications:

Qualifying candidates will satisfy one of the following criteria options:

Option 1:

• Nine (9) years of progressive professional IT experience in one or more of the following areas:
  • consulting, analyzing, designing, programming, installing, and/or maintaining computer software applications, hardware, telecommunications, or network infrastructure equipment;
  • directing IT projects;
  • providing IT customer or technical support; or
  • administering or supervising staff who performed work in any of these IT disciplines.

Option 2:

• Associate degree in information technology, computer science, or IT related field or equivalent and
• Seven (7) years of progressive professional IT experience in one or more of the areas identified in Option 1.

Option 3:

• Bachelor's degree in information technology, computer science, or IT related field or equivalent and
• Five (5) years of progressive professional IT experience in one or more of the areas identified in Option 1.

Option 4:

• Master's degree in information technology, computer science, or IT related field or equivalent and
• Three (3) years of progressive professional IT experience in one or more of the areas identified in Option 1.

Option 5:

• Three (3) years as a journey level IT professional in state government performing one or more of the experiences listed in Option 1.

Qualifying candidates will also satisfy all of the following criteria (experience may be gained concurrently):

• Four (4) years of experience with vendor / System Integrator management and facilitating systems development sessions and relationships.
• Two (2) years of knowledge and hands-on experience with Software Development Life Cycle (SDLC).
• Two (2) years of demonstrated experience with best practice Business Analysis methodologies based on the International Institute of Business Analysis, Business Analysis Body of Knowledge (BABOK Guide and Standards).

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Preferred qualifications:

• Demonstrated professional experience:
• Using SQL to write and pull data queries.
• Analyzing large, complex data sets being used to make highly visible enterprise-wide decisions.
• Effectively communicating orally and in writing with large groups (100+) of internal and external stakeholders regarding detailed and/or technical content, such as contract language and deliverables.
• Facilitating meetings with external stakeholders.
• Building reports and creating data extracts from a data warehouse.
• Highly skilled level analytical, facilitation, systems and organizational skills.

How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:

• A cover letter that specifically addresses how you meet the qualifications for this position
• Current resume

To take advantage of veteran preference , please do the following:

• Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
• Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental Information
About HCA:

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

What we have to offer:

• Meaningful work with friendly co-workers who care about those we serve
• A clear agency mission that drives our work and is person-centered
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package
• A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
• And free parking!

Notes:

This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.

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.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA's mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Jake Nelko at View phone number on click.appcast.io or


The Washington State Health Care Authority (HCA) is an All applicants with a in the United States are encouraged to apply.
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More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.

We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.

Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.

Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.


Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.

Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.

To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.

Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.

Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.

The 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). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.

Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.

Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.

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 under the Public Service Loan Forgiveness Program.

Holidays
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.

Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.

Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.


Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.

Sick Leave
Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.


Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.

Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in (1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.

Part-time employees accrue vacation leave hours in accordance with (1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.

Pay status includes hours worked, time on paid leave and paid holiday.

As provided in , an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.


Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.

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. In addition, the employer may approve other available leave types for the purpose of bereavement leave.

Additional Leave
Leave Sharing

Family and Medical Leave Act (FMLA)
Leave Without Pay

Please visit the State HR Website for more detailed information regarding benefits.

Updated 01-07-2026
01


Please select the highest level of education that you have completed information technology, computer science, or IT related field:

• High school graduation or equivalent
• Associate degree
• Bachelor's degree
• Master's degree or higher
• None of the above

02


Which of the following best describes your progressive professional IT experience in one or more of the following areas?: o consulting, analyzing, designing, programming, installing, and/or maintaining computer software applications, hardware, telecommunications, or network infrastructure equipment; o directing IT projects; o providing IT customer or technical support; or o administering or supervising staff who performed work in any of these IT disciplines.

• I do not have this experience.
• Less than 3 years
• More than 3 years, but less than 5 years
• More than 5 years, but less than 7 years
• More than 7 years, but less than 9 years
• More than 9 years

03


If you indicated you have the experience noted in the above question, please explain how, where, and when you gained this knowledge and experience (must be reflected in the work experience of your application). Please do not state "see resume" or copy and paste that material. If you answered no, please type N/A in the text box below.
04


Which of the following best describes your professional work experience as journey level IT professional in state government?

• I do not have this experience.
• Less than 1 year
• More than 1 year, but less than 2 years
• More than 2 years, but less than 3 years
• More than 3 years

05


Which of the following best describes your professional work experience with vendor / System Integrator management and facilitating systems development sessions and relationships?

• I do not have this experience.
• Less than 4 years
• More than 4 years

06


Which of the following best describes your professional knowledge and hands-on experience with Software Development Life Cycle (SDLC)?

• I do not have this experience.
• Less than 2 years
• More than 2 years

07


Which of the following best describes your professional experience with best practice Business Analysis methodologies based on the International Institute of Business Analysis, Business Analysis Body of Knowledge (BABOK Guide and Standards)?

• I do not have this experience
• Less than 2 years
• More than 2 years

08


Do you have the ability to take action to learn and grow?

• Yes
• No

09


Do you have the ability to take action to meet the needs of others?

• Yes
• No

10


Which of the following best describes your professional experience using SQL to write and pull data queries?

• I do not have this experience.
• Less than 1 year
• More than 1 year, but less than 2 years
• More than 2 years, but less than 3 years
• More than 3 years, but less than 4 years
• More than 4 years, but less than 5 years
• More than 5 years

11


Which of the following best describes your professional experience with analyzing large, complex data sets being used to make highly visible enterprise-wide decisions?

• I do not have this experience
• Less than 1 year
• More than 1 year, but less than 2 years
• More than 2 years, but less than 3 years
• More than 3 years, but less than 4 years
• More than 4 years, but less than 5 years
• More than 5 years

12


Which of the following best describes your professional experience effectively communicating orally and in writing with large groups (100+) of internal and external stakeholders regarding detailed and/or technical content, such as contract language and deliverables?

• I do not have this experience
• Less than 1 year
• More than 1 year, but less than 2 years
• More than 2 years, but less than 3 years
• More than 3 years, but less than 4 years
• More than 4 years, but less than 5 years
• More than 5 years

13


Which of the following best describes your professional experience facilitating meetings with external stakeholders?

• I do not have this experience
• Less than 1 year
• More than 1 year, but less than 2 years
• More than 2 years, but less than 3 years
• More than 3 years, but less than 4 years
• More than 4 years, but less than 5 years
• More than 5 years

14


If hired for this position, do you currently possess required documents to allow you to legally work within the United States? The attached link lists acceptable documents:

• Yes
• No

15


Will you require sponsorship for an employment-related immigration benefit, either now or in the future?

• Yes
• No

16


I acknowledge that I have included at least three references, and that I have uploaded a cover letter and resume in the attachments section of my application.

• Yes
• No

Required Question