Job Description

Posting number: 2026-07122

Department: Health Care Authority

Division: AHSO

Job classification: IT BUSINESS ANALYST - JOURNEY

Posting type: Open & Promotional

Categories: IT and Computers, Telecommunications, Miscellaneous, Project Management, Health Care Support, Payroll/Benefits Administration

ProviderOne Interface Analyst (ITBA-J/AHA)

71028839

The ProviderOne Interface Analyst (IT Business Analyst – Journey) manages, monitors, and troubleshoots electronic data interface exchanges connected to ProviderOne, the State’s mission-critical Medicaid claims processing system. The position leads needed research and provides consultation and analysis activities on interface-related ProviderOne elements and attributes to coordinate, manage and maintain the data transfer of key information between systems. This position suits an IT professional with experience in system data interfaces exchanges including but not limited to webservices and API management. It also offers the opportunity to learn and grow a skillset in health care infrastructure statewide.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes

About the division:

HCA’s Medicaid Management Information System, named ProviderOne, is a mission critical system. This large-scale enterprise system is operated and maintained in the Apple Health Administration (AHA) within the ProviderOne Operations (P1O) section. ProviderOne and the Pharmacy Point of Sale (POS) systems process over five million claims per month and processes/pays transactions in excess of $14 billion annually to providers of services to Medicaid clients statewide.

About the position:

This journey level IT business analyst position reports to the ProviderOne Technical Manager and is responsible for monitoring, troubleshooting, technical design review/approval, testing, and management of all ProviderOne and POS system interfaces. The position ensures application interfacing with Extensible Markup Language (XML), Simple Object Access Protocol (SOAP) coded web services and Application Programming Interfaces (APIs) all run smoothly without errors or issues. In addition to system Interface management, the position also is responsible for working with other teams within state government and vendors to ensure data agreements with applicable system partners are up to date as well as oversight and maintenance of the ProviderOne correspondence application, DOC1.

This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.

Examples of duties

Some of what you will do:

• Independently responsible for the management of all external electronic data interfaces (including web services and APIs). This responsibility includes monitoring timely data delivery and specialized analysis to identify, troubleshoot and resolve interface issues.
• Technical advisor and customer liaison between the vendor(s) and business and technical stakeholders such as CMS, other state agencies, and other businesses.
• Coordinate, manage and maintain successful and efficient data exchanges via current contracts and Data Share Agreements.
• Conduct database research, ensure data integrity, monitor interface products and schedule and provide technical consultation and analysis regarding ProviderOne and POS external interfaces and DOC1 correspondence solution.
• In coordination with the ProviderOne and POS vendors, prepare planning and implementation strategies and process documents for data interface activities and maintain communication of these activities with multiple internal and external stakeholders.
• Follow change control processes and procedures to ensure that proposed system changes are analyzed for interface impacts.
• Leads the analysis of system modifications by eliciting business needs related to interfaces and synthesizing those needs into technical requirements for utilization by the vendor(s) during design development and implementation.
• Coordinate and plan for new interfaces with subsystem business analyst senior staff to ensure the new data exchanges will fulfill the customer request.
• Serve as primary tester for all ProviderOne and POS interfaces, APIs, and web services for defect fixes, enhancements and change requests.
• Facilitates the modification (As-Built) process with the vendor(s) in order to ensure system documentation is updated to support the changes in the Change Request.
• Communicates with business stakeholders when system changes are successfully implemented into UAT and production. Facilitates the delivery of training when necessary to ensure stakeholders understand ProviderOne specifications and how the system is designed to function.

Qualifications

Required qualifications:

Qualifying candidates will meet one of the following criteria options:

Option 1

Master’s degree or higher in computer technology or an information technology (IT) area.

Option 2

Bachelor's degree in computer technology or an information technology (IT) area, and three (3) years of the required experience below

Option 3

Associate degree in computer technology or an information technology (IT) area, and five (5) years of the required experience below

Option 4

Seven (7) years of the required experience below

Option 5:

Three (3) years as an Entry level IT professional or higher in State service performing professional IT

The required experience includes one or a combination of

Progressive (continuing to grow professionally) professional IT experience in:

• Consulting, analyzing, designing, programming, installing, and/or maintaining computer software applications, hardware, telecommunications, or network infrastructure equipment;
• Directing projects
• Providing customer or technical support in IT
• Administering staff who performed work in any of these IT disciplines.

All experience must include

• (Concurrent) One (1) year Knowledge of System Development Life Cycle (SDLC). Ensures technical integration is achieved across the enterprise by participating in planning, validation, reviews and testing and implementation
• (Concurrent) Two (2) years of experience with vendor/ system integrator management and facilitating systems development sessions and relationships
• Knowledge of technical aspects of data exchanges and data exchange management between multiple systems.

Required competencies:

• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.
• Knowledge and experience with Medicaid eligibility and health care claims processing. This includes a working knowledge of ACES eligibility categories, strong analytic skills and the ability to assess, interpret and report on data elements related to eligibility;
• Knowledge of the other WA state agency systems (CARE, BARCODE, ACES, WHALES, JBRS) that interact with ProviderOne to assist with troubleshooting and/or testing of the interfaces that are used to update ProviderOne client data.
• Knowledge of large systems/software applications and data analysis methods, tools and techniques, including the ability to extract, analyze and interpret data from computer systems. This includes demonstrated proficiency in and knowledge of tools for data extraction, data analysis and information presentation.
• Knowledge of technical aspects of data exchanges and data exchange management between multiple systems.
• Ability to represent HCA in technical data interface workgroups and statewide and national professional organizations, and to present information in a way that establishes rapport and influences others.
• Excellent written, oral and presentation skills and the ability to interpret and communicate technical standards and information to management, technical staff, and stakeholders inside and outside of the Agency
• Functional knowledge and experience in information system development life cycle activities, project activities, including project planning and project management methodologies and the use of automated project tracking tools.
• Ability to organize and prioritize multiple activities and responsibilities, balance competing demands, establish priorities, work independently and advance assigned projects from inception to completion with limited supervision.
• Demonstrated commitment to providing superior customer service.
• Commitment to quality, diversity and public service values.
• Knowledge of ProviderOne and Medicaid payment methodology.
• Knowledge and experience with large IT systems and data analysis methodologies and techniques.

Preferred qualifications:

• An advanced degree in an IT field and at least one (1) year of required experience listed above.
• Knowledge and experience of data transmission concepts, functions and mechanisms in data exchange concepts.
• Knowledge and experience of medical, dental, pharmacy coding and/or HIPAA terminology. Also have strong analytic skills and the expert ability to analyze, interpret and implement state specific and HIPAA Transactions and Code Sets regulations.
• Knowledge and experience with the Medicaid Management Information System (MMIS) or equivalent medical payment system. Experience would include design and development, system documentation, testing, subsystem functionality and requirements gathering.
• Demonstrate an understanding of basic system architecture documentation methodologies.
• Knowledge of interfaces delivered and transmitted to and from the ProviderOne and/or POS systems.

How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:

• A cover letter that specifically addresses how you meet the qualifications for this position
• Current resume

To take advantage of veteran preference, please do the following:

• Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
• Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental information

About HCA:

Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.

There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.

What we have to offer:

• Meaningful work with friendly co-workers who care about those we serve Voices of HCA
• A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package WA State Government Benefits
• A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
• And free parking!

Notes:

This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.

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.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission.Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description. Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.govPersons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or lisa.fleming@hca.wa.gov

The Washington State Health Care Authority (HCA) is an E-Verify employer All applicants with a legal right to work in the United States are encouraged to apply.

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