Mental Health Parity Coordinator

PacificSource Health Plans • WFH: FL, FL

2d • $56,780 - $96,526 • Onsite

About The Position

The Mental Health Parity Coordinator is responsible for supporting PacificSource’s compliance with federal and state mental health parity laws and regulations, including the Mental Health Parity and Addiction Equity Act (MHPAEA). This role coordinates parity analyses, documentation, and reporting to ensure behavioral health and substance use disorder benefits are administered in compliance with regulatory requirements. The coordinator partners closely with Compliance, Legal, Behavioral Health, Medical Management, Benefits, and Vendor Management teams to identify parity risks, support corrective action, and promote consistent, compliant benefit administration.

Requirements

• Minimum of 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, health insurance industry or other medical setting is required.
• A bachelor’s degree in healthcare administration, public health, business, legal studies, or a related field required.
• 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 with the ability to collaborate across technical and non technical teams.
• Ability to manage multiple priorities, maintain confidentiality, and work independently with minimal supervision.

Nice To Haves

• Experience with mental health parity, behavioral health operations, Medicaid, Medicare, or commercial health plan administration is preferred.
• Familiarity with regulatory audits, document review, and cross functional coordination also preferred.
• Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
• Advanced education or compliance related certifications are preferred.
• Knowledge of MHPAEA and behavioral health benefit administration is preferred.

Responsibilities

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

Benefits

• Our Values: We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level