CompanyWashington Office of Insurance Commissioner
Salary$4656.00 – $6105.00
Provider Network Report Analyst (3 Positions)
The Office of the Insurance Commissioner (OIC) Provider Network Unit is seeking three motivated and qualified individuals to fill Provider Network Report Analyst (Functional Program Analyst 3) positions in the Rates, Forms, and Provider Networks Division. These positions are assigned to our Tumwater office.
As a Provider Network Analyst, you will support the agency’s mission by performing analytical reviews and evaluations of healthcare provider networks. You will analyze data, develop data models, and use business analytical tools to produce data visualizations. You will develop reports to make recommendations for management consideration regarding issues of potential healthcare provider network access gaps identified through internal referrals, healthcare providers, and consumer complaints.
Reporting to a Functional Program Analyst 4, these positions are responsible for performing the following duties to include, but not limited to:
Compiling, organizing, analyzing, and interpreting healthcare data provided by multiple sources. Examines both qualitative and quantitative data to find patterns and trends.
Reviews network access reports to create trend analyses and summaries for decision-making purposes. Assimilate large quantities of simple and moderate data into meaningful formats for tracking and status inquires.
Communicates with insurance companies, attorneys, consumers, and OIC staff regarding network access reports, market availability, laws, and regulations.
Develops reports utilizing insurance company’s data to assist management in making determinations about network compliance with state and federal law.
Performs research and analysis for low-impact (simple) network access proposals related to consumer inquiries and referrals from Consumer Advocacy and Market Conduct units.
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.
Bachelor’s degree in Public Administration, Business Administration, Social Sciences, or a closely 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.
(Additional relevant professional experience working in the healthcare, insurance or regulatory field interpreting, analyzing or reporting on statutory requirements will substitute year for year for education.)
Two years of professional work experience in one or more of the following:
Ensuring compliance with governmental statutory and regulatory requirements; or
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; or
Experience analyzing both qualitative and quantitative data. Using business intelligence software and creating data visualization reports to aid in analysis and to present findings for a variety of audiences.
Intermediate level Microsoft Office Outlook with the ability to set calendar options; sort, find and filter messages; customize message options; use the journal entry to track and record; assign, reply and track tasks; create public folders and send and post information.
Intermediate level Microsoft Office Word with the ability to create, save, preview and print documents; edit text, format documents; and use auto-correct.
Intermediate level Microsoft Excel skills with the ability to use formulas (including VLOOKUP, COUNTIF, AND/OR) , perform conditional formatting, apply data list outline, consolidate data and link workbooks, export and import text files and XML data; import data from the Web and create Web queries, analyze data using trend lines.
Experience drafting, analyzing, researching, or applying the requirements of provider and facility contracting.
Intermediate skills in Microsoft Power BI with the ability to create reports, extract data, design and edit reports.
Previous healthcare analytics 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.
Working toward or have an industry specific designation such as Certified Health Data Analyst (CHDA), Registered Health Information Technician (RHIT).
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. Your letter of interest should describe how your experience, training and education make you a viable and competitive candidate for this position. 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 of 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 or state rules of compensation (if currently a state employee).
Contact us: For inquiries about this position, please contact [email protected]
Apply here: https://www.governmentjobs.com/careers/washington/jobs/3834944/provider-network-report-analyst-fpa-3-3-positions