Mental Health Parity Coordinator

This is a fully remote position, open to applicants in Florida.

📋 Description

• Facilitate and assist in ensuring enterprise compliance with MHPAEA and associated state mental health parity regulations.

• Contribute to Non-Quantitative Treatment Limitation analyses, which includes documentation, comparative assessments, and readiness for regulatory compliance.

• Oversee benefit designs, utilization management practices, provider network standards, reimbursement methods, and administrative processes to ensure parity compliance.

• Collaborate with internal teams and assigned vendors to collect data, policies, procedures, and evidence for parity evaluations.

• Monitor regulatory guidance, enforcement activities, and emerging parity obligations.

• Aid in the implementation of regulatory changes.

• Assist with regulatory examinations, audits, and information requests regarding mental health parity.

• Record findings, risks, mitigation strategies, and corrective measures; keep organized, audit-ready parity documentation.

• Coordinate issue resolution and follow up with stakeholders to ensure timely remediation.

• Provide training and advice on mental health parity requirements and compliance expectations.

• Engage in cross-functional workgroups and compliance committees.

• Support compliance reporting and updates for leadership.

• Ensure accurate documentation in accordance with company policies and regulatory standards.

• Meet the performance expectations of the department and company.

• Undertake additional duties as assigned.

• Safeguard confidential information per privacy policies and HIPAA regulations.

⛳️ Requirements

• A minimum of 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, the health insurance sector, or another medical environment.

• A Bachelor’s degree in healthcare administration, public health, business, legal studies, or a related field is required.

• An Associate’s degree coupled with 2 years of relevant experience, or a high school diploma with 4 years of relevant experience, may be accepted in lieu of the required minimum years of experience.

• A solid understanding of health insurance operations and principles of regulatory compliance.

• Proficiency in analyzing policies, processes, and comparative data to detect compliance risks.

• Excellent organizational, documentation, and attention-to-detail skills.

• Strong written and verbal communication abilities.

• Capability to collaborate effectively across both technical and non-technical teams.

• Ability to manage several priorities, uphold confidentiality, and work independently with minimal oversight.

• Proficient in reading and comprehending written and spoken English.

• Competent in communicating clearly and effectively.

• Ability to stoop, bend, sit and/or stand for extended periods, perform repetitive typing/sorting/filing tasks, and lift/carry files and business materials.

• Approximately 10% travel is required.

• Must adhere to PacificSource privacy policies and HIPAA laws and regulations regarding the confidentiality and security of protected health information.

🏝️ Benefits

• Equal opportunity employment.

• Work-from-home arrangement available in Florida.

• Ergonomically configured equipment provided.

• Opportunities to engage in initiatives promoting social justice, equity, diversity, and inclusion.

• At-will employment.