Mental Health Parity Coordinator

Job not on LinkedIn

🔥 14 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $56.8k - $96.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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PacificSource Health Plans

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1933

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

PacificSource Health Plans is a healthcare provider that offers a range of health insurance solutions, including plans for individuals, families, and employers. Their offerings include Medicare and Medicaid plans, dental coverage, and administrative services for small and large groups. Committed to member care, PacificSource emphasizes customer service and provides various resources for health management, including mental health support and wellness programs.

📋 Description

• Coordinate and support enterprise compliance with MHPAEA and related state mental health parity requirements • Assist with Non Quantitative Treatment Limitation (NQTL) analyses, 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 for parity reviews • Track regulatory guidance, enforcement activity, and emerging parity requirements • Support implementation of regulatory changes • Support regulatory examinations, audits, and information requests related to mental health parity • Document findings, risks, mitigation strategies, and corrective actions; maintain organized, audit-ready parity files • Coordinate issue resolution and follow up with stakeholders to ensure timely remediation • Provide education and guidance regarding mental health parity requirements and compliance expectations • Participate in cross-functional workgroups and compliance committees • Support compliance reporting and leadership updates • Maintain accurate documentation according to company policies and regulatory standards • Follow PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information • Perform other duties as assigned

🎯 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 both written and spoken English • Ability to communicate clearly and effectively • Knowledge of MHPAEA and behavioral health benefit administration 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 • Advanced education or compliance-related certifications preferred

🏖️ Benefits

• Equal opportunity employment • Work-from-home arrangement • Travel approximately 10% of the time • Ergonomically configured equipment