Functional Program Analyst 3 – HCBM Analyst

Full Job Description

This recruitment will remain open until February 16, 2026. The agency reserves the right to make a hiring decision at any time after the initial screening date on January 23, 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 a qualified individual for the Functional Program Analyst 3 – HCBM Analyst 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! Here’s why:

• 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 the Position

At the Washington State Office of the Insurance Commissioner (OIC), our work matters.

Every day, we protect consumers, the public interest, and Washington’s economy by ensuring the insurance marketplace operates fairly, transparently, and lawfully.

Behind the scenes, our teams safeguard access to health care, hold systems accountable, and help ensure that contracts governing critical health services put people first.

The Functional Program Analyst 3 plays a vital role in this mission.

As part of the Provider Network Oversight Program within the Rates, Forms, and Provider Networks Division, this position serves as a key reviewer and analyst of Health Care Benefit Manager (HCBM) contracts.

Through independent, thoughtful analysis of complex contract language, this role helps ensure that health carriers and HCBMs comply with state and federal laws designed to protect consumers and preserve the integrity of the insurance system.

This is meaningful, high-impact work. The decisions and recommendations made in this role directly influence how health care services are authorized, delivered, and paid for across Washington State.

By identifying compliance issues, collaborating with internal experts, and working constructively with regulated entities, this position helps improve contract practices before they reach the marketplace—protecting consumers before problems arise.

If you are energized by detailed analysis, motivated by public service, and want your expertise to make a real difference in people’s access to health care, this role offers the opportunity to do work that truly matters.

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. The monthly salary range for this position 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

Requirements

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

• Independently analyze and evaluate Health Care Benefit Manager (HCBM), health carrier, provider, pharmacy, and related contract forms to ensure compliance with Washington State insurance laws, regulations, applicable case law, and federal requirements.
• Review complex contractual documents, including Statements of Work, Business Associate Agreements, base contracts, templates, and amendments, to assess whether legal and regulatory standards are met.
• Interpret and assess contract provisions governing prior authorization, medical necessity determinations, utilization review, claims processing, provider credentialing, payment methodologies, dispute resolution, appeals, provider network management, and disease or care management activities.
• Identify compliance issues, deficiencies, or areas of concern and develop clear, well-reasoned recommendations for corrective contract language or action.
• Apply and interpret relevant RCWs, WACs, and case law to support consistent, legally sound contract reviews and regulatory decisions.
• Communicate compliance concerns, review findings, and required revisions to health carriers, HCBMs, and third-party filers in a professional, clear, and solution-oriented manner.
• Collaborate with the Functional Program Analyst 4 Supervisor, Program Manager, and OIC colleagues to discuss significant issues, ensure consistency in review standards, and address matters that may impact the broader insurance marketplace.
• Conduct research and provide subject-matter guidance to internal staff and external stakeholders regarding HCBM contracts, regulatory requirements, and compliance expectations.
• 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.

To read more about this position and view all duties, click here to request a position description.

Qualifications

Required Qualifications:

• Six (6) years of professional work experience* in areas such as contract management, drafting and/or review of legal documents; regulatory examinations, regulatory compliance, claims;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:

• Advanced skills and experience in Microsoft Outlook, Excel, and Word.
• Demonstrated experience organizing work, establishing timelines, and meeting deadlines.

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!

Additional 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 to recruitment@oic.wa.gov with FPA3_2026-00464 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 Recruitment@oic.wa.gov.

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 recruitment@oic.wa.gov.