Compliance Program Consultant, Mental Health Parity
About The Position
The Compliance Program Consultant, Mental Health Parity administers an assigned Compliance Program by providing mental health parity subject matter expertise and consultation to ensure compliance with State & Federal law. This role is responsible for designing and incorporating processes and internal regulations to ensure compliance standards within the organization as part of Medica's Legal team. This Compliance Program Consultant partners with internal business leaders and external vendors to ensure compliance with the Quantitative Treatment Limitations, Non-Quantitative Treatment Limitations, and Financial Requirements as a specialist and expert in mental health parity compliance.
Requirements
- Bachelor's degree or equivalent experience in related field
- 5+ years of work experience beyond degree with a specialty in mental health parity, experience in a clinical setting and/or healthcare compliance experience
Nice To Haves
- Demonstrable skill in working collaboratively with cross-functional teams
- Proven ability to work independently
- Strong professional acumen
Responsibilities
- Partner with internal business areas and external vendors to ensure compliance with mental health parity’s requirements for Quantitative Treatment Limitations, Non-Quantitative Treatment Limitations, and Financial Requirements
- Draft and update the Non-Quantitative Treatment Limitation Comparative Analysis for multiple states with a focus on clinical NQTLs
- Assist partners with implementation of new laws or regulations related to mental health parity
- Act as a resource for mental health parity questions and training
- Prepare mental health parity filings for regulators in multiple states; coordinate submission of responses to questions/objections regarding the filings
- Participate in the product development process to ensure products comply with mental health parity prior to the products being filed with regulators for approval
- Participate in mental health parity-focused internal and external investigations, market conduct examinations, and audits (collectively, “audits”)
- Respond to document requests for audits, conduct extensive audit research and prepare comprehensive analyses and audit reports
- Conduct assigned special projects, provides program support, and performs reporting
- Assist in the maintenance and implementation of department policies, procedures, and work processes
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
