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.
Required Skills and Experiences
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 regulati
Benefits
Health insuranceVision insuranceEquity / stock options
Additional Information
About Blue Cross and Blue Shield of Minnesota
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 Impact you will have
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.
Bcbsmn · Eagan, MN