Mental Health Parity Coordinator
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Job Description
Mental Health Parity Coordinator supporting PacificSource’s health-plan compliance with MHPAEA and state parity laws. Coordinating NQTL analyses, audits, documentation, risk mitigation, and regulatory reporting.
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
- Work inside in a general office setting with ergonomically configured equipment
- Travel approximately 10% of the time
- Perform physical activities including stooping, bending, sitting and/or standing for extended periods, repetitive typing, sorting and filing, and light lifting and carrying of files and business materials
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
- 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 is preferred
- A bachelor’s degree in healthcare administration, public health, business, legal studies, or a related field required
- 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
- 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
- Follow PacificSource privacy policy and HIPAA laws and regulations concerning 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
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