Senior Provider Network Analyst

Benefits

As an eligible state employee, Washington State offers:

• An outstanding benefits package and retirement plans.
• Training and development opportunities, including tuition reimbursement.
• Program for Public Service Loan Forgiveness (if applicable).
• Free parking at our main office in Tumwat.
• A stable funding source that does not rely on the state’s general fund.
• The fulfillment of public service.
• Excellent work-life balance.
• Flexible work schedules and telework opportunities.
• Commitment to diversity in the workplace and support one another with respect and trust.
• Free Thurston County Transit public transportation, or King County ORCA Transit pass for public transportation.

Duties

• Provides daily direct supervision and development of four (4) professional staff, which includes developing and prioritizing high quality training tailored to the specific needs of each staff member, focusing on succession planning and the cross training of team members.
• Analyzes data, develops data models, and uses business analytical tools to determine if health insurance carriers are providing access to the appropriate types and numbers of healthcare providers.
• Develops and produces reports and responses for internal and external customers regarding potential healthcare provider network access gaps.
• Performs high priority research and analysis for legislative or consumer inquiry and complaint referrals from various units in the OIC.
• Participates on rulemaking teams and project work groups.
• Collaborates with Provider Contracting Unit supervisor to ensure information sharing and efficiencies between units.

Required Qualifications

• Bachelor’s degree in Public Administration, Business Administration, Mathematics, Social Sciences, a health- related field, law, or a closely related field.
• Three years of professional work experience in one or more of the following:
• Ensuring compliance with governmental statutory and insurance or other regulatory requirements.
• Professional work with Health & Disability insurance, Self-funded plan, or Provider Relations.
• Experience related to healthcare claims payment configuration, credentialing, or utilization process/systems and the relevance on network operations impact.
• Experience analyzing data using business intelligence software and creating data visualization reports for a variety of audiences.
• Two years of supervisory experience or five years as a lead with responsibility for training others.

Preferred Qualifications

• Working toward or have an industry specific designation such as Certified Health Data Analyst (CHDA) or Registered Health Information Technician (RHIT).
• Experience drafting, analyzing, researching, or applying the provisions of provider and facility contracting.
• Advanced skill level in Microsoft Excel.