FPA3 – Provider Contract Analyst

State of Washington • Thurston County – Tumwater, WA

8h • Hybrid

About The Position

At the Washington State Office of the Insurance Commissioner (OIC), we play a vital role in protecting consumers, the public interest, and Washington’s economy by ensuring the insurance marketplace operates fairly, transparently, and in compliance with the law. A key part of that mission is making sure health insurance carriers build and maintain provider networks that give consumers meaningful access to health care services. The Functional Program Analyst 3 (FPA3) in the Provider Network Oversight Program directly supports this work. Assigned to the Provider Contract Unit within the Rates, Forms, and Provider Networks (RFPN) Division, this position serves as a provider and facility contract analyst responsible for reviewing health care provider contracts and related agreements. Reporting to the Functional Program Analyst 4 Supervisor, the FPA3 performs independent, objective analyses of simple to moderately complex contracts to ensure compliance with Washington insurance laws, federal requirements, and applicable case law. In this role, you will help ensure that provider contracts are legally compliant, clearly written, and structured in a way that supports stable, accessible provider networks. By identifying compliance issues, documenting objections, and working collaboratively with insurers, providers, and internal partners, the FPA3 helps move contracts efficiently toward approval—supporting timely network development and maintenance across the state. This position offers an opportunity to apply analytical and critical-thinking skills to real-world regulatory challenges that directly impact access to health care for Washington residents. If you are detail-oriented, enjoy interpreting complex information, and are motivated by public service and consumer protection, this role provides meaningful work with tangible results. This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days. This is a Washington General Service position.

Requirements

• 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.
• Intermediate-level skills in Microsoft Outlook, Word, and Excel

Nice To Haves

• Experience using the System for Electronic Rate and Form Filing (SERFF) software program.
• Intermediate-level skills in Adobe Acrobat Pro
• Working toward or having an industry specific designation such as Fellow Life Management Institute (FLMI) or Health Insurance Associate (HIA) or similar.
• Experience drafting, analyzing, researching, or applying the provisions of health or disability products or provider contracting rules or laws

Responsibilities

• Independently review and analyze health carrier provider and facility contracts, contract amendments, leasing agreements, compensation exhibits, and single case agreements to determine compliance with Washington state insurance laws, federal laws, regulations, and applicable case law.
• Perform objective, unbiased evaluations of simple to moderately complex provider contracting arrangements, interpreting contract language and contractual relationships to assess legal and regulatory compliance.
• Apply relevant RCWs, WACs, federal requirements, and legal precedent to contract reviews and document findings clearly and accurately.
• Identify contract provisions that do not meet regulatory requirements and draft clear, well-supported objections and recommendations outlining how contracts can be brought into compliance.
• Communicate compliance concerns and regulatory requirements to health carriers, providers, attorneys, and third-party filers, and work collaboratively with these parties to resolve issues and reach final disposition on submitted contracts.
• Consult and collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and other OIC staff regarding contract review issues that may impact network development, network maintenance, or the broader insurance marketplace.
• Conduct research and provide subject matter guidance related to provider contracting requirements to internal and external stakeholders.
• Facilitate consistent and uniform contract review standards by discussing regulations, case law, and contract provisions with OIC staff and participating in cross-team coordination.
• Communicate effectively with internal and external stakeholders regarding the status, requirements, and implications of provider contract reviews.
• Maintain accurate documentation and records of contract reviews, analyses, correspondence, and final decisions in accordance with OIC procedures and records retention requirements.
• Perform other related duties and projects as assigned by the supervisor or Program Manager in support of program goals.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree