Functional Program Analyst 4 (FPA4 - Lead)

No detailed description available.

• Perform 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.
• Supervise 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.

• 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.
• Two (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.

• Comprehensive 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.

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.