Mental Health Parity Coordinator

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

📋 Description

• Facilitate and support organizational compliance with MHPAEA and relevant state mental health parity regulations.

• Assist in the execution and upkeep of Non Quantitative Treatment Limitation (NQTL) analyses, including documentation, comparative assessments, and readiness for regulatory review.

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

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

• Monitor regulatory guidance, enforcement actions, and evolving parity requirements; assist in implementing necessary changes.

• Aid in regulatory examinations, audits, and information requests associated with mental health parity.

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

• Coordinate issue resolution and follow up with internal stakeholders to ensure timely remediation of identified deficiencies.

• Provide education and guidance to internal teams regarding mental health parity requirements and compliance standards.

• Participate in cross-functional workgroups and compliance committees concerning behavioral health, benefits, and regulatory oversight.

• Assist with ongoing compliance reporting and provide leadership updates as requested.

• Keep accurate records in alignment with company policies and regulatory standards.

• Meet departmental and organizational performance expectations.

• Perform additional duties as assigned.

• Work in a standard office environment equipped with ergonomically designed equipment.

• Travel approximately 10% of the time.

• Engage in physical activities including stooping, bending, sitting and/or standing for prolonged periods, repetitive typing, sorting, filing, and light lifting and carrying of files and business materials.

⛳️ Requirements

• A minimum of 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, the health insurance industry, or another medical setting is required.

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

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

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

• Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, along with the required minimum work experience will also be considered.

• Advanced education or compliance-related certifications are preferred.

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

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

• 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 with the ability to collaborate across technical and non-technical teams.

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

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

• Ability to read and comprehend both written and spoken English.

• Communicate clearly and effectively.

🏝️ Benefits

• Equal opportunity employment.

• Ergonomically configured equipment.

• At-will employment.