Mental Health Parity Coordinator
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🔥 0 minutes ago
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📋 Description
• Coordinate and support enterprise compliance with MHPAEA and related state mental health parity requirements • Assist in conducting and maintaining Non Quantitative Treatment Limitation (NQTL) analyses, including documentation, comparative review, and regulatory readiness • Monitor benefit designs, utilization management practices, provider network standards, reimbursement methodologies, and administrative processes for parity compliance • Partner with internal teams and delegated vendors to gather data, policies, procedures, and evidence required for parity reviews • Track regulatory guidance, enforcement activity, and emerging parity requirements; support implementation of changes as needed • Support regulatory examinations, audits, and information requests related to mental health parity • Document findings, risks, mitigation strategies, and corrective actions; maintain organized and audit-ready parity files • Coordinate issue resolution and follow up with internal stakeholders to ensure timely remediation of identified gaps • Provide education and guidance to internal teams regarding mental health parity requirements and compliance expectations • Participate in cross-functional workgroups and compliance committees related to behavioral health, benefits, and regulatory oversight • Support ongoing compliance reporting and leadership updates as requested • Maintain accurate documentation in accordance with company policies and regulatory standards • Meet department and company performance expectations • Perform other duties as assigned • Follow PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information • Work inside in a general office setting with ergonomically configured equipment • Travel approximately 10% of the time
🎯 Requirements
• Minimum of 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, health insurance industry or another medical setting • Bachelor’s degree in healthcare administration, public health, business, legal studies, or a related field required • Associate’s degree and 2 years of relevant experience, or high school diploma and 4 years of relevant experience, may be considered in addition to the required minimum years of work experience • Strong understanding of health insurance operations and regulatory compliance principles • Ability to analyze policies, processes, and comparative data to identify compliance risks • Strong organizational, documentation, and attention to detail skills • Effective written and verbal communication skills • Ability to manage multiple priorities, maintain confidentiality, and work independently with minimal supervision • Ability to read and comprehend written and spoken English • Ability to communicate clearly and effectively • Ability to follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information • Advanced education or compliance-related certifications preferred • Experience with mental health parity, behavioral health operations, Medicaid, Medicare, or commercial health plan administration preferred • Familiarity with regulatory audits, document review, and cross-functional coordination preferred
🏖️ Benefits
• Equal opportunity employment • Work-from-home arrangement • Ergonomically configured equipment • Approximately 10% travel opportunity • At-will employment
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