Regulatory Operations – Mental Health Parity Analyst III
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Job Description
Mental Health Parity Analyst overseeing regulatory operations related to filings for Marketplace products. Focused on compliance, research, and providing recommendations based on legislative analysis.
Responsibilities:
- Performs and oversees the development of Mental Health Parity related filings and/or filing material for Marketplace products in the commercial markets
- Performs and/or assists with regulatory research and issue advocacy in relation to Mental Health Parity policy positioning
- Guide special projects
- Analyzes and interprets proposed or enacted legislation and/or regulations in relation to federal MHPAEA law and/or state Mental Health Parity law for business impacts
- Communicates impacts to the business and/or impacted departments in assigned high risk states for commercial product
- Provides recommendations to the business based on analysis/interpretation
- Subject Matter Expert for department functions and regulatory interpretation related to Mental Health Parity for the commercial product
- Attends cross-functional meetings as department lead and shares positioning within meetings
- Responsibility for understanding regulations and business needs for multiple states
- Oversee the preparation and/or development of Mental Health Parity Nonquantitative Treatment Limitations (NQTL) Comparative Analyses documentation for internal business needs
- Audits documents for accuracy and alignment with regulations and internal business strategies
- Lead initiatives related to these activities
- Creates and performs quality and accuracy audits on Quantitative Treatment Limitation (QTL) Testing Templates
- Performs data entry into QTL Source of Truth and audits data inputs
- Leads cross-functional meetings, building strong relationships, to collaborate on creation of Mental Health Parity documentation and policy positioning and advocacy
- Independently drafts responses to external requests for information required by the organization for its regulatory filings and/or for policy advocacy specific to federal MHPAEA law and/or state Mental Health Parity law
- Leads onboarding of new employees and training of analysts
Requirements:
- Bachelor's Degree in business, Communications, Health Care, Political Science/Pre-Law or equivalent experience required
- Master's Degree in a related field or Juris Prudence preferred
- 4+ years experience in health insurance, legal, or compliance ore related area required
- Experience developing and/or auditing policy documentation and/or QHP filing templates preferred
- Knowledge of Mental Health Parity law(s) and SERFF preferred
Benefits:
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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