Mental Health Parity Coordinator

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

📋 Description

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

• Aid in conducting Non Quantitative Treatment Limitation (NQTL) analyses, documentation, comparative assessments, and readiness for regulatory compliance.

• Oversee benefit designs, utilization management practices, provider network standards, reimbursement methods, and administrative procedures for compliance with parity.

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

• Monitor regulatory guidance, enforcement actions, and emerging requirements related to parity.

• Assist in the implementation of regulatory modifications.

• Support regulatory examinations, audits, and information requests concerning mental health parity.

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

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

• Provide education and guidance on mental health parity requirements and compliance expectations.

• Engage in cross-functional workgroups and compliance committees.

• Assist with compliance reporting and updates for leadership.

• Maintain precise documentation in accordance with company policies and regulatory standards.

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

• Perform additional duties as assigned.

⛳️ Requirements

• At least 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, health insurance, or a related medical environment.

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

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

• Strong knowledge of health insurance operations and principles of regulatory compliance.

• Ability to analyze policies, processes, and comparative data to identify compliance risks.

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

• Strong written and verbal communication abilities.

• Capacity to manage multiple priorities, maintain confidentiality, and work independently with minimal supervision.

• Proficiency in reading and comprehending both written and spoken English.

• Ability to communicate clearly and effectively.

• Knowledge of MHPAEA and behavioral health benefit administration is preferred.

• Experience in mental health parity, behavioral health operations, Medicaid, Medicare, or commercial health plan management is preferred.

• Familiarity with regulatory audits, document reviews, and cross-functional collaboration is preferred.

• Advanced education or compliance-related certifications are preferred.

🏝️ Benefits

• Equal opportunity employment.

• Work-from-home arrangement.

• Travel approximately 10% of the time.

• Ergonomically configured equipment.