This recruitment will remain open until February 5, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on January 12, 2026. It is in the applicant's best interest to submit materials as soon as possible.
Make a Difference: Protect Consumers & Join Our Dynamic Team! The Office of the Insurance Commissioner (OIC) seeks a qualified individual for the
Functional Program Analyst 4 (FPA4 - Lead) position. This role is within the
Rates, Forms, and Provider Networks Division and is based out of our Tumwater Office.
We are an employer of choice! Here's why:Meaningful work: Ensure a healthy insurance market & protect Washington consumers.
Impactful career: Make a daily difference in the lives of countless Washingtonians.
Small agency, big opportunities: Gain a holistic understanding of our mission and build strong relationships with colleagues.
Diversity, equity, and inclusion: OIC is committed to ensuring that all employees enjoy a respectful, safe, and supportive working environment - by fostering the inclusion of people from all backgrounds, cultures, and attributes.
About the Position At the
Washington State Office of the Insurance Commissioner (OIC), we protect consumers, the public interest, and our state's economy through fair and efficient regulation of the insurance industry. Our work ensures Washington residents have access to affordable, high-quality insurance coverage and health care services.
The
Provider Network Oversight Program (PNOP) plays a critical role in this mission by evaluating health, vision, and dental plan provider networks for compliance with state and federal law, including the Affordable Care Act. We focus on ensuring networks provide meaningful, timely access to care across Washington's diverse geographic regions.
The
Functional Program Analyst 4 serves as the supervisor and subject matter expert for the Provider Network Unit. In this role, you will lead a team of analysts, oversee complex network access reviews, and apply advanced data analysis to assess access to care. This position is ideal for an experienced leader who enjoys mentoring staff, working with complex data, and applying policy and regulatory judgment to protect consumers and strengthen the health insurance marketplace.
This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 4 vacancies in the next sixty days.
This is a Washington General Service position. The monthly salary range for this position is $5,666 - $7,622.
Benefits & PerksComprehensive benefits package: Health, dental, vision, retirement, paid leave (vacation, sick, etc.) and much more!Supportive work environment: We value diversity, professional growth, and collaborative atmosphere.Wellness programs: Invest in your well-being with on-site resources and initiatives.Work-life balance: Flexible schedules with telework opportunities.Public service fulfillment: Contribute to a cause that matters and feel the satisfaction of serving the public good.Training & Development: Continuously learn and grow with tuition reimbursement, Public Service Loan Forgiveness, and other programs.Free parking (Tumwater) & Public transportation pass (Thurston County): Save on commuting costs.And more! Explore our website for additional benefits:
The duties of the position include but are not limited to:
Hands-On Analysis and Program LeadershipPerform direct, hands-on analysis of complex and high-priority provider network access submissions, including Access Plans, Geographic Network Reports, Provider Network Form A, Network Enrollment Form B, and Alternative Access Delivery Reports (Form C).Independently conduct advanced quantitative and qualitative analysis to identify provider network access gaps, trends, and compliance issues with Washington insurance law and federal requirements, including the Affordable Care Act.Aggregate, validate, and analyze data from multiple internal and external systems to ensure accuracy, integrity, and consistency.Develop and execute data queries and analytical methods to retrieve, manipulate, and evaluate network access data.Produce written analyses, visualizations, and narrative summaries for quarterly and market-level reports on provider network access.Serve as a working subject matter expert on complex network access delivery systems and strategies, contributing directly to analytical products and regulatory decisions.Perform expert-level review and make approval or disapproval determinations on complex, high-impact alternative access delivery requests.Review and refine staff analyses and recommendations and provide substantive technical input before forwarding recommendations to program leadership. Supervision and Team EngagementSupervise and work alongside a team of Functional Program Analyst 3s, modeling analytical rigor, accountability, and collaborative problem-solving.Assign and prioritize work while remaining actively engaged in unit deliverables to meet timelines and quality expectations.Provide real-time technical guidance, coaching, and mentoring during active reviews and analyses-not just through after-the-fact review.Develop performance expectations, conduct evaluations, and support individual development and training plans.Identify and approve job-relevant, cost-effective training opportunities that enhance both unit capacity and individual skill development.Coordinate with Human Resources and program leadership to recruit, select, and onboard new staff.Make probationary and trial service recommendations, including approval or denial of permanent status. Collaboration, Policy Support, and Continuous ImprovementProvide expert technical assistance and guidance to internal and external stakeholders regarding provider network design, access standards, and compliance requirements.Apply in-depth knowledge of Washington's health care system, geographic access challenges, and legal standards governing care delivery and referrals.Perform peer consultation, quality review, and special projects to support consistent, high-quality provider network oversight.Contribute directly to process improvements, analytical tools, and documentation standards within the Provider Network Oversight Program.Stay current on health care delivery models, regulatory changes, and best practices to strengthen program effectiveness.
To read more about this position and view all duties, click
here to request a position description. Seven (7) years of healthcare experience in regulatory compliance with provider network regulations and application to managed healthcare organizations, provider network management or regulatory provider network reporting requirements, with provider data repositories, in data analysis, reporting, and the use of data software used for network assessment and reporting such as Quest Analytics, Power BI, or Tableau, and/or strong analytical skills interpreting complex data and decision making to improve network access. ANDTwo (2) years of supervisory experience or five (5) years of demonstrated lead worker experience including regularly assigning, instructing, planning and checking the work of other employees and providing input to supervisor regarding performance.
Academic Degree Equivalency Chart
Degree
Years of Relevant Experience Equivalency
Associate's Degree
2 years of experience
Bachelor's Degree
4 years of experience
Master's Degree
5 years of experience
A degree in business administration, public health, public administration or 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 may be substituted for relevant experience. 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.
Required Knowledge, Skills and Abilities:Intermediate level in Microsoft Outlook, Word, PowerPoint and ExcelDemonstrated experience working independently, prioritizing work, and meeting multiple conflicting deadlines, including by seeking guidance from leadership.
Preferred/Desired Qualifications:Working toward or have an industry specific designation, such as, Certified Health Data Analyst (CHDA), Registered Health Information Technician (RHIT).Experience drafting, analyzing, researching, or applying provisions of provider and facility contracting.Expert level Microsoft Excel skills.Experience analyzing, researching, or applying the Affordable Care Act (ACA).
Ready to join us? Learn more about the OIC by visiting our website. We encourage you to check out our video below and listen to what our employees have to say about working here!
Welcome to the OIC
Submit your application today and take the first step towards a rewarding career at the OIC!
Supplemental Information:This position is represented by the Washington Federation of State Employees (WFSE).Wage/salary depends on qualifications or state rules of compensation (if currently a state employee). . click apply for full job details
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