Work in Washington Veterans Jobs

Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

• We are a local not-for-profit health plan in Washington State.
• We are committed to keeping Washington families healthy.
• We connect our communities to the health resources they need.
• We provide access to high-quality care for our members.
• We connect and empower our members through technology.
• The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
• Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

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*System Performance & Compliance Analyst *

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[POSITION PURPOSE:]{.underline}

Responsible for developing, analyzing, monitoring performance systems and data to ensure provider network compliance with state and federal regulatory deliverables. This role includes ownership of project management processes for provider network monitoring, quality reporting and continuous process improvement.

[PRINCIPAL DUTIES:]{.underline}

• Develops and maintains processes to track and manage network regulatory deliverables, resolving issues to ensure accuracy of narratives and data submissions.
• Facilitates and supports teams to develop provider network regulatory narratives and coordinate annual audit deliverables.
• Researches, analyzes, and tracks HCA provider network regulatory requirements relevant to the subdivision to provide subject matter expertise.
• Builds internal reports and dashboards for subdivision to help support planning and strategy for network regulatory deliverables.
• Develops and maintains performance monitoring across provider network systems to assess, analyze and monitor compliance strategies across provider contracting and network compliance departments for leadership reporting.
• Collaborates on contracting provider data gaps to ensure reliability, completeness, and consistency.
• Generates reporting and summarizes data from contract system, while analyzing and interpreting the data to produce summaries for stakeholders.
• Organizes plans for improving departmental system processes and performance in alignment with strategic network goals.
• Interfaces with provider contracting and network compliance departments and teams to initiate, develop, execute projects, and process improvement initiatives.
• Participates in cross-training with department analysts.
• Facilitates meetings, develops agendas, task management and guidance of meetings, related to provider network regulatory partner audits.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.

[QUALIFICATIONS:]{.underline}

[Education &]{.underline} [Prior Related Experience]{.underline}:

Have a bachelor's degree in a related field or an equivalent combination of education and highly relevant experience, required.

Have two (2) years contract administration database