What are the responsibilities and job description for the Functional Program Analyst 3 (HCBM/ Provider Contracts Analyst) position at State of Washington?
Salary: $5,137.00 - $6,906.00 Monthly
Location : Thurston County - Tumwater, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2026-02024
Department: Office of the Insurance Commissioner
Division: Rates & Forms
Opening Date: 03/12/2026
Closing Date: 4/9/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step
Description
This recruitment has been extended through April 9, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on March 19, 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 multiple qualified individual(s) to join our Rates, Forms, and Provider Networks Division based out of our Tumwater Office.
Roles:
We are an employer of choice! Here's why:
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.
About these Positions
We are hiring for two (2) HCBM Analysts and one (1) Provider Contract Analyst within our Rates, Forms, and Provider Network (RFPN) Division. These positions focus on reviewing complex healthcare contracts, evaluating them for compliance with state and federal requirements, and documenting findings in a clear and organized way. Each role requires strong analytical thinking, sound judgment, and the ability to communicate effectively with insurers, providers, attorneys, and other stakeholders. While the core review and analysis work is similar, each position supports a different program area and applies that expertise to a distinct set of contract types. Each role reports to the assigned FPA4 Supervisor within either the Provider Contract Unit or the HCBM Contract Unit.
Functional Program Analyst 3: HCBM Analyst
As an HCBM Analyst, you will review contract filings submitted by health carriers, Health Care Benefit Managers (HCBMs), providers, pharmacies, and Pharmacy Services Administrative Organizations (PSAOs). Your work helps ensure these agreements are accurate, compliant, and aligned with regulatory expectations. You will analyze contract language, identify issues, and provide clear written findings that support consistent oversight across the marketplace. You will also conduct research and offer subject matter guidance to carriers, HCBMs, agents, attorneys, and consumers. This includes discussing contract provisions, interpreting case law, and helping resolve questions or concerns that arise during the review process. This role is a strong fit for someone who enjoys detailed analytical work, communicates clearly about complex topics, and values contributing to fair and transparent practices across the healthcare system.
Functional Program Analyst 3: Provider Contract Analyst
As a Provider Contract Analyst, you will focus on reviewing provider contracts to help maintain a fair, stable, and transparent healthcare system. You will evaluate practitioner, hospital, and other facility contract terms, identify issues that could affect consumers or network adequacy, and work with insurers, providers, attorneys, and internal partners to address concerns. Your analysis will be grounded in legal and regulatory standards, and your documentation will support consistent decision making within the Provider Network Oversight Program. This position is ideal for someone who takes pride in accurate, well-reasoned work and enjoys applying analytical thinking to real-world regulatory challenges.
Rates, Forms, and Provider Network team members are required to be in-office (4) days a week for the first 30 days of employment, (3) days in-office for days 31-90, and then (2) days from then on.
This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days.
These are Washington General Service positions. The monthly salary range for these positions is $5,137 - $6,906.
Benefits & Perks
Duties
Core Duties for Both Roles
Qualifications
Required Qualifications:
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:
Preferred/Desired Qualifications:
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!
Submit your application today and take the first step towards a rewarding career at the OIC!
Resume and Cover Letter Required
Supplemental Information
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees....
Location : Thurston County - Tumwater, WA
Job Type: Full Time - Permanent
Remote Employment: Flexible/Hybrid
Job Number: 2026-02024
Department: Office of the Insurance Commissioner
Division: Rates & Forms
Opening Date: 03/12/2026
Closing Date: 4/9/2026 11:59 PM Pacific
Salary Information: The high end of the salary range, Step M is typically a longevity step
Description
This recruitment has been extended through April 9, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on March 19, 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 multiple qualified individual(s) to join our Rates, Forms, and Provider Networks Division based out of our Tumwater Office.
Roles:
- FPA3: HCBM Contract Analyst (2)
- FPA3: Provider Contract Analyst (1)
We are an employer of choice! Here's why:
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.
- 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 these Positions
We are hiring for two (2) HCBM Analysts and one (1) Provider Contract Analyst within our Rates, Forms, and Provider Network (RFPN) Division. These positions focus on reviewing complex healthcare contracts, evaluating them for compliance with state and federal requirements, and documenting findings in a clear and organized way. Each role requires strong analytical thinking, sound judgment, and the ability to communicate effectively with insurers, providers, attorneys, and other stakeholders. While the core review and analysis work is similar, each position supports a different program area and applies that expertise to a distinct set of contract types. Each role reports to the assigned FPA4 Supervisor within either the Provider Contract Unit or the HCBM Contract Unit.
Functional Program Analyst 3: HCBM Analyst
As an HCBM Analyst, you will review contract filings submitted by health carriers, Health Care Benefit Managers (HCBMs), providers, pharmacies, and Pharmacy Services Administrative Organizations (PSAOs). Your work helps ensure these agreements are accurate, compliant, and aligned with regulatory expectations. You will analyze contract language, identify issues, and provide clear written findings that support consistent oversight across the marketplace. You will also conduct research and offer subject matter guidance to carriers, HCBMs, agents, attorneys, and consumers. This includes discussing contract provisions, interpreting case law, and helping resolve questions or concerns that arise during the review process. This role is a strong fit for someone who enjoys detailed analytical work, communicates clearly about complex topics, and values contributing to fair and transparent practices across the healthcare system.
Functional Program Analyst 3: Provider Contract Analyst
As a Provider Contract Analyst, you will focus on reviewing provider contracts to help maintain a fair, stable, and transparent healthcare system. You will evaluate practitioner, hospital, and other facility contract terms, identify issues that could affect consumers or network adequacy, and work with insurers, providers, attorneys, and internal partners to address concerns. Your analysis will be grounded in legal and regulatory standards, and your documentation will support consistent decision making within the Provider Network Oversight Program. This position is ideal for someone who takes pride in accurate, well-reasoned work and enjoys applying analytical thinking to real-world regulatory challenges.
Rates, Forms, and Provider Network team members are required to be in-office (4) days a week for the first 30 days of employment, (3) days in-office for days 31-90, and then (2) days from then on.
This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 3 vacancies in the next sixty days.
These are Washington General Service positions. The monthly salary range for these positions is $5,137 - $6,906.
Benefits & Perks
- 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.
- And more! Explore our website for additional benefits: https://www.insurance.wa.gov
Duties
Core Duties for Both Roles
- Independently analyze/review and evaluate contracts to ensure with Washington State insurance laws, federal laws, regulations, and applicable case law.
- Interpret contract language and assess whether legal and regulatory standards are met.
- Apply relevant RCWs, WACs, federal requirements, and case law to support consistent, legally sound contract reviews and regulatory decisions.
- Identify compliance issues, deficiencies, or provisions that do not meet regulatory requirements and develop clear, well-reasoned recommendations or objections outlining how contracts can be brought into compliance.
- Collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and OIC colleagues regarding contract review issues that may impact the broader insurance marketplace and support consistent and uniform contract review standards.
- Support the OIC's consumer protection mission by helping ensure that regulated entities issue contracts that are fair, transparent, and compliant before entering the marketplace.
Qualifications
Required Qualifications:
- 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.
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:
- FPA3: HCBM Analyst
- Advanced skills and experience in Microsoft Outlook, Excel, Word
- Demonstrated experience organizing work, establishing timelines, and meeting deadlines.
- FPA3: Provider Contract Analyst
- 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.
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!
Submit your application today and take the first step towards a rewarding career at the OIC!
Resume and Cover Letter Required
Supplemental Information
- This position isrepresented by the Washington Federation of State Employees (WFSE).
- Wage/salary depends on qualifications or state rules of compensation (if currently a state employee).
- State law (RCW 48.02.090(5)) prohibits employees of the OIC from having any interest, directly or indirectly, in an insurance company other than as a policyholder. This prohibition includes the receipt of renewal commissions. If employment is accepted with this agency, you agree to abide by this state law.
- Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the position.
- If claiming veteran status, please send your DD 214 towith FPA3_2026-02024 in the subject line. Please do not attach the DD214 to your application materials.Please black out personally identifiable data such as social security numbers.
- The Office of Insurance Commissioner is an equal opportunity employer, does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.
- If you are having technical difficulties creating, accessing (log in, password or email issues) or completing your application (error messages), please call toll-free at (855) 524-5627.
- Contact us: For inquiries about this position, please contact us at and add the requisition number and job name to the subject line of your email.
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees....
Salary : $5,137 - $6,906