Functional Program Analyst 3 (Contracts Analyst - HCBM)

About the Position

We are hiring for one (1) HCBM Analyst within our Rates, Forms, and Provider Network (RFPN) Division. This position focuses on reviewing complex healthcare contracts, evaluating them for compliance with state and federal requirements, and documenting findings in a clear and organized way. This role requires strong analytical thinking, sound judgment, and the ability to communicate effectively with insurers, providers, attorneys, and other stakeholders. This role reports to the assigned FPA4 Supervisor within either the Provider Contract Unit or the HCBM Contract Unit.

Duties

• Independently analyze/review and evaluate contracts to ensure with Washington State insurance laws, federal laws, regulations, and applicable case law.
• Interpret contract language and assess whether legal and regulatory standards are met.
• Apply relevant RCWs, WACs, federal requirements, and case law to support consistent, legally sound contract reviews and regulatory decisions.
• Identify compliance issues, deficiencies, or provisions that do not meet regulatory requirements and develop clear, well-reasoned recommendations or objections outlining how contracts can be brought into compliance.
• Collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and OIC colleagues regarding contract review issues that may impact the broader insurance marketplace and support consistent and uniform contract review standards.
• Support the OIC’s consumer protection mission by helping ensure that regulated entities issue contracts that are fair, transparent, and compliant before entering the marketplace.

Qualifications

• Required Qualifications:
• 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.
• Absent a degree, proof of degree may be required prior to employment. If a degree was awarded outside of the United States, candidates must provide a credential evaluation report.
• Intermediate-level skills in Microsoft Outlook, Word, and Excel.
• Required Knowledge, Skills and Abilities:
• Intermediate-level skills in Microsoft Outlook, Word, and Excel.
• Demonstrated experience organizing work, establishing timelines, and meeting deadlines.
• Preferred/Desired Qualifications:
• Advanced skills and experience in Microsoft Outlook, Excel, Word.