Functional Program Analyst 3 (HCBM Contracts Analyst)
GovernmentJobs.com - Olympia, WA
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Functional Program Analyst 3 (HCBM Contracts Analyst) The Office of the Insurance Commissioner (OIC) seeks a qualified individual for the Functional Program Analyst 3 (HCBM Contracts Analyst) 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 Washington's economy through fair and effective regulation of the insurance industry. Our work directly impacts how health care is delivered across the stateensuring insurance companies and health care benefit managers operate transparently, lawfully, and in the best interest of the people they serve. Within OIC, the Rates, Forms, and Provider Networks (RFPN) Division is where policy meets practice. Our Provider Network Oversight Program (PNOP) focuses on the contracts that shape real-world access to careagreements between insurers, health care benefit managers, hospitals, clinics, physicians, and third-party vendors. These contracts define how provider networks are built, managed, and leased, and they must comply with complex state and federal requirements. This role is part of a collaborative team where everyone contributes, but each analyst brings a specialized focus. As a Functional Program Analyst 3 (HCBM Contracts Analyst), you will be deeply contract-centricreviewing, interpreting, and analyzing provider and network management agreements to ensure compliance and protect the integrity of Washington's health care system. If you enjoy digging into complex documents, understanding how entities relate to one another, and applying legal and regulatory standards to real-world contracts, this position offers meaningful, high-impact work with strong subject-matter support and a clear public purpose. Duties of the position include but are not limited to: Review and analyze contracts between insurance companies, health care benefit managers, and health care providers (such as hospitals, clinics, and physicians) to ensure they comply with state and federal requirements. Examine complex contract documentsincluding master agreements, amendments, Statements of Work, and Business Associate Agreementsto identify issues, risks, or non-compliant provisions. Understand and evaluate how different parties (insurers, vendors, third-party administrators, and providers) are connected through contract relationships and how those relationships affect provider networks. Apply laws, regulations, and regulatory guidance to real-world contracts and clearly document your findings and recommendations. Communicate review results and compliance concerns with insurance companies, vendors, attorneys, and third-party filers in a professional and solutions-oriented manner. Work closely with supervisors and team members to discuss complex issues, ensure consistent review standards, and resolve contract questions. Research regulatory requirements and provide guidance to internal staff and external stakeholders related to provider network management and contract compliance. Track contract reviews and outcomes to support timely approvals and accurate regulatory records. Participate in training and assist with other projects or duties as assigned. Required qualifications: Six (6) years of professional work experience in areas such as contract management, drafting and/or review of legal documents; regulatory examinations, regulatory compliance, claims; or health care benefit plan design, distribution, or administration. 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 public administration, business administration, law/legal studies, finance 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 skills in Microsoft Outlook, Word, and Excel Preferred/desired qualifications: Advanced skills and experience in Microsoft Outlook, Excel, and Word. Demonstrated experience organizing work, establishing timelines, and meeting deadlines.
Created: 2026-03-06