2860 IT & Software Developer jobs in the US
Functional Program Analyst - Provider Contracts
$61,444 - 82,872
State of Washington
Sid Snyder Avenue SW 416, Olympia
$61,444 - 82,872
Requirements
Must:
- Six (6) years of professional full-time experience in contract management, legal document review, regulatory examinations, regulatory compliance, or health care benefit plan design, distribution, or administration.
- Intermediate proficiency in Microsoft Outlook, Word, and Excel.
- Bachelors Degree in public administration, business administration, law/legal studies, finance or related field, or an equivalent foreign degree can substitute for relevant experience.
- For FPA3: HCBM Analyst position, advanced skills in Microsoft Office programs and experience in work organization with strict timelines.
- For FPA3: Provider Contract Analyst position, familiarity with SERFF software, Adobe Acrobat Pro, and industry-specific designations like FLMI or HIA is preferred.
Responsibilities
- Review contract filings from health carriers, Health Care Benefit Managers (HCBMs), providers, and related entities for accuracy and regulatory compliance.
- Analyze and interpret contract language, identifying issues and documenting findings in a comprehensive manner.
- Conduct research and provide expert guidance related to contract provisions and case law interpretations to various stakeholders.
- Evaluate provider contracts, focusing on terms affecting consumer access and network adequacy, while collaborating with insurers and legal partners to address concerns.
- Ensure that contracts adhered to Washington State insurance laws, federal laws, and applicable regulations.
- Make clear recommendations for bringing non-compliant contracts into alignment with regulatory requirements.
- Collaborate with colleagues on issues impacting the broader insurance marketplace to uphold consistent contract review standards.
Description
At the Washington State Office of the Insurance Commissioner (OIC), we are dedicated to consumer protection and ensuring fair practices in the insurance marketplace. Located in Tumwater, our Rates, Forms, and Provider Networks Division offers a collaborative work environment where every team member contributes towards the welfare of Washington consumers. We pride ourselves on our commitment to diversity, equity, and inclusion, ensuring that all employees feel respected and valued. We offer a comprehensive benefits package, a supportive work atmosphere for professional growth, and flexibility in work-life balance. We invite you to join our mission and make a significant impact in the lives of countless individuals.
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You can find Business Specialist salaries in the United States here.
How many Business Specialist jobs are in the United States?
Currently, there are 2860 Business openings. Check also: Project-Manager jobs, Product-Manager jobs, CRM jobs - all with salary brackets.
Is the US a good place for Business Specialists?
The US is one of the best countries to work as a Business Specialist. It has a vibrant startup community, growing tech hubs and, most important: lots of interesting jobs for people who work in tech.
Which companies are hiring for Business Specialist jobs in the United States?
AMERICAN SYSTEMS, Trimlite, Menusifu, Inc., Concordia Group, Peraton, Active Datacomm, DreamPak among others, are currently hiring for Business roles in the United States.
The company with most openings is Lockheed Martin Corporation as they are hiring for 272 different Business Specialist jobs in the United States. They are probably quite committed to find good Business Specialists.
The company with most openings is Lockheed Martin Corporation as they are hiring for 272 different Business Specialist jobs in the United States. They are probably quite committed to find good Business Specialists.