Functional Program Analyst 4 (FPA4 Lead)

This recruitment will remain open until February 5 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on January 12 2026. It is in the applicants 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 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.

We are an employer of choice! Heres why:

About the Position

At the Washington State Office of the Insurance Commissioner (OIC) we protect consumers the public interest and our states economy through fair and efficient regulation of the insurance industry. Our work ensures Washington residents have access to affordable high-quality insurance coverage and health care services.

The Provider Network Oversight Program (PNOP) plays a critical role in this mission by evaluating health vision and dental plan provider networks for compliance with state and federal law including the Affordable Care Act. We focus on ensuring networks provide meaningful timely access to care across Washingtons diverse geographic regions.

The Functional Program Analyst 4 serves as the supervisor and subject matter expert for the Provider Network this role you will lead a team of analysts oversee complex network access reviews and apply advanced data analysis to assess access to care. This position is ideal for an experienced leader who enjoys mentoring staff working with complex data and applying policy and regulatory judgment to protect consumers and strengthen the health insurance marketplace.

This recruitment may be used to establish a qualified pool of candidates for Functional Program Analyst 4 vacancies in the next sixty days.

This is a Washington General Service position. The monthly salary range for this position is $5666 - $7622.

Benefits & Perks

The duties of the position include but are not limited to:

Hands-On Analysis and Program Leadership

• 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.

Supervision and Team Engagement

• 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 analysesnot 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.

Collaboration Policy Support and Continuous Improvement

• Provide expert technical assistance and guidance to internal and external stakeholders regarding provider network design access standards and compliance requirements.
• Apply in-depth knowledge of Washingtons health care system geographic access challenges and legal standards governing care delivery and referrals.
• Perform peer consultation quality review and special projects to support consistent high-quality provider network oversight.
• Contribute directly to process improvements analytical tools and documentation standards within the Provider Network Oversight Program.
• Stay current on health care delivery models regulatory changes and best practices to strengthen program effectiveness.

To read more about this position and view all duties clickhereto request a position description.

• 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.

AND

• 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.

Academic Degree Equivalency Chart

*A degree in business administration public health public administration 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 in Microsoft Outlook Word PowerPoint and Excel
• Demonstrated experience working independently prioritizing work and meeting multiple conflicting deadlines including by seeking guidance from leadership.

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!

Welcome to the OIC

Submit your application today and take the first step towards a rewarding career at the OIC!

Supplemental Information:

• This position isrepresented by the Washington Federation of State Employees (WFSE).

• State law (RCW 48.02.0905) 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 applicants suitability and competence to perform in the position.
• If claiming veteran status please send your DD 214 to with FPA42026-00035 in the subject line. Please do not attach the DD 214 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- or .
• 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 .
• Contact us: For inquiries about this position please contact us at .