CompanyWashington Office of Insurance Commissioner
SalaryUp to $105,816 Annually depending on experience
Health Forms Manager
The Office of the Insurance Commissioner’s (OIC) Health Forms Program is seeking a motivated and qualified individual to fill a Health Forms Program Manager (WMS Band 2). This position is assigned to the Rates, Forms, and Provider Networks Division, located in our Tumwater office.
This position is a member of the Rates, Forms and Provider Networks management team. Reporting to the Forms Compliance Manager, the Health Forms Manager is responsible for the timely, consistent, and efficient review of health plan form filings submitted by the insurance industry. This includes ensuring that state and federal statutes, rules, and case law are accurately reflected in the processes, procedures, and review criteria produced by professional staff for use on reviewing health plan forms and depended upon by Insurance companies when developing health plans and submitting form filings for use in Washington State. This position focuses on the implementation of the Affordable Care Act.
Develops short-term strategic (1-3 years) operating plans, goals, and objections for the regulation of health plan form filings and implements tactics for the ongoing review of health plan form filings.
Directs and controls the development and implementation of policies, procedures, regulation, and statutes for the regulation of health plan forms.
Directly accountable for the overall performance of the Health Forms Program.
Directs the review of health plan forms submitted by regulated entities.
Assures appropriate and optimum use of the organizations resources and enhances the effectiveness of employees through timely appraisal and professional development opportunities.
Independently identifies undecided policy and legal issues, directs questions to the appropriate subject matter experts, and develops and implements tactics to address existing gaps, including rulemaking and legislative proposals.
Represents the OIC on a local and national level, speaking on behalf of the agency, and participating on National Association of Insurance Commissioner’s (NAIC) task forces and work groups.
Supervise the Health Forms Program Functional Program Analysts who perform the following in their review of health plan filings for all health plan issuers (regulated entities), including but not limited to:
Developing performance expectations and conducting performance evaluations, including individual development, and training plans.
Assigning, planning, instructing, and checking the work of assigned staff; coaching and recognizing staff.
Approving/disapproving request for outside employment, leave, and overtime and/or exchange time; recommending or approving/disapproving (as delegated) employee training requests.
Conducting supervisory fact-findings into alleged misconduct and/or performance deficiencies, taking appropriate corrective action, and/or disciplinary action up through a Letter of Reprimand. (For discipline affecting pay of individuals, make a recommendation for consideration to the appointing authority.)
Bachelor of Arts or Bachelor of Science degree.
Three (3) years’ experience in each of the following:
Analyzing health plan forms (contracts or policies).
Supervisory or lead experience of professional level staff.
Interpreting federal or state law and rules, and case law, in an insurance compliance position.
Preferred/Desired Qualifications of this position include:
Advanced degree in either business or law.
Two (2) years’ experience with the System for Electronic Rate and Form Filings (SERFF).
Currently possess or actively pursuing one or more insurance focused professional designations such as Certified Insurance Examiner (CIE), Healthcare Compliance Professional (HCP), Health Insurance Associate (HIA), Associate Insurance Regulatory Compliance (AIRC), Associate Professional in Insurance Regulation (APIR) or a similar designation program.
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.
Please provide three (3) professional references on your application. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies. If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.
The initial screening will be based on the content and completeness of your application and the materials submitted. All information may be verified, and documentation may be required. Applications with comments such as “see attachments” or “see resume” in the supplemental question responses will be considered incomplete.
General suggestions for creating a good application:
Read the job posting very carefully. Find out as much as you can about the position.
Make sure you are very diligent in following all the application instructions. Include all requested documentation.
Make sure your application and supplemental question responses address how you meet each of the required and desired qualifications.
Carefully read each of the supplemental questions and respond completely to each one. Pay attention to each component of the question, providing examples, and thoroughly describing when and where you achieved the experience. Detail the types of work you performed, the work products, etc., to demonstrate ‘how’.
Specifically include all your work experiences doing the same or similar work, especially if you reference work in these jobs in describing when/where you gained experience or skills.
Make sure your application reflects your best writing.
Wage/salary depends on qualifications, with a maximum salary up to $105,816.
Contact us: For inquiries about this position, please contact Treese Beckett at (360) 725-7011.
Apply here: https://www.governmentjobs.com/careers/washington/jobs/3826295/health-forms-program-manager