Mgr Mental Health Parity

Blue Cross Blue Shield of Minnesota•Eagan, MN

2d•$117,800 - $200,200•Hybrid

About The Position

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Manager of Mental Health Parity leads a team that guides, supports, and monitors cross-functional operational areas within the organization to ensure compliance with the federal Mental Health Parity Addiction and Equity Act (MHPAEA) as well as state mental health parity requirements. This team assists business owners in operational areas with identifying and evaluating nonquantitative treatment limitations, assessing whether their design and implementation adhere to parity standards, and creating and maintaining documentation repositories that demonstrate compliance.

Requirements

5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered
Leadership experience, preferably in a regulatory or consulting environment.
Experience in managed care setting with health plan compliance, regulatory affairs, quality, or parity regulation
Experience with Mental Health Parity (MHPAEAA) Federal Regulatory requirements and applicable state laws
Experience addressing mental health parity state and federal laws and regulations, including collaborating with subject matter experts and service providers to obtain input necessary for assessing and demonstrating mental health parity compliance
Medicaid and commercial insurance experience
Ability to interpret and apply complex regulatory language to benefit designs
Proven experience managing complicated projects, keeping track of details, and staging work to deliver projects on time
Excellent analytic/critical thinking skills; ability to interpret complex benefit designs, synthesize data, and identify potential compliance gaps and their impact to the functioning and operations of all divisions
Experience leading and developing high-performing teams
Ability to delegate, coach, and manage workload effectively
Proven self-starter can work independently with minimal supervision
Intellectually curious; proven willingness and eagerness to take on new and challenging projects with interest and enthusiasm for learning new subjects
Excellent written and verbal communication skills, excellent interpersonal skills
Ability to work cross-functionally with account managers, benefit specialists, and clients
Excellent consultation and advisory skills
Strong organizational skills with the ability to manage multiple projects to ensure deadlines are met
Proven ability to prioritize and to identify matters requiring escalation or special attention
Strong interpersonal skills demonstrated by an ability to establish trust and credibility with internal and external stakeholders, with proven capability to work with people at multiple levels in a matrixed organization
Ability to keep confidentiality
Familiarity with health plan documentation, benefit summaries, COCs, and SPDs; understanding of provider network, medical policy, utilization management, and health benefit products
Proficiency in Microsoft Office Suite and skills working in a computer-based office suite environment, Microsoft Windows (Word, Excel, etc.), Microsoft SharePoint, and Adobe Acrobat Pro
Comfort with digital collaboration tools (e.g., SharePoint, Teams, OneNote)
High school diploma (or equivalency) and legal authorization to work in the U.S.

Nice To Haves

Bachelor’s degree in Public Health, Health Policy, Law, or other health related field (e.g., licensed social worker or registered nurse)
Prior experience working with self-insured clients
Process improvement and ability to implement tools or systems that improve team efficiency and accuracy

Responsibilities

Lead and Manage Team Operations
Supervise a team of associates responsible for parity compliance evaluations.
Provide mentorship, training, and performance oversight to the team.
Manage associates that provide guidance, services, and monitoring across the organization’s divisions and departments relating to mental health parity.
Maintain MHP training, communication, and education for applicable associates and vendors.
Monitor MHP Program activities to ensure they are consistently operationalized and implemented.
Oversee preparation of responses to internal and external MHP inquiries, audits, and exams.
Oversee Parity Compliance
Facilitate all levels of MHP governance and oversight; oversee and maintain the organization’s parity infrastructure and compliance processes.
Demonstrate aptitude with operationalizing compliance requirements.
Conduct research of MHP state and federal laws and regulations to understand and support ongoing enterprise compliance.
Maintain current and thorough knowledge and understanding of all state and federal parity requirements, including being informed of industry-specific regulations to ensure that appropriate risk management strategies are in place with respect to mental health parity.
Complete any reporting needed to affirm status of mental health parity oversight and aid the organization’s legal, compliance, and internal audit areas in their oversight and monitoring efforts.
Provide guidance related to self-insured clients’ health plans compliance with MHPAEA, federal regulations, and applicable state laws.
Review self-insured clients plan assessments, NQTL comparative analyses, and summary reports prior to final delivery.
Collaborate Across Departments
Facilitate integration of MHP requirements and processes into business practices, operational policies, and business segments.
Anticipate, evaluate, and identify potential organizational needs relating to mental health parity compliance requirements that may result from new or existing organizational policies, procedures, and/or business plans within the organization.
Support ongoing internal parity monitoring and related corrective action and remediation, as indicated.
Contribute to the evolution and execution of the organization’s strategic and operational business plans impacting mental health parity.
Collaborate with all relevant business areas to maintain a current mental health parity documentation repository consistent with regulatory requirements.
Deliver Expert Guidance
Present findings and recommendations to stakeholders in a clear, actionable manner; Comfortable speaking to diverse audiences, including executives.
Serve as a key resource on complex and critical parity matters.
Facilitate the identification and analysis of multifaceted issues and data.
Provide clear explanations and information to stakeholders, as needed.
Translate complex regulatory requirements into practical solutions.
Ensure Quality and Accuracy
Oversee the drafting of comprehensive assessment reports with attention to detail and quality.
Maintain high standards of analytical rigor and regulatory interpretation.
Monitor Regulatory Changes
Stay current on MHPAEA updates, federal guidance, and state-level parity laws.
Adapt team processes and client recommendations accordingly.
Support Client Engagement
Participate in client meetings and presentations as a mental health parity subject matter expert, as needed.
Address client inquiries and provide ongoing support for parity-related issues.