[Remote] Mental Health reputed company Compliance Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a Berkshire Hathaway company that provides customer-reputed company accident and health insurance services. They are seeking an reputed company Mental Health reputed company Compliance Analyst to assist in ensuring compliance with federal and state mental health reputed company laws while leading various initiatives and supporting the Legal team.
Responsibilities
- Monitor and interpret federal and state regulations reputed company to mental health reputed company (MHPAEA, ACA, state mandates)
- Conduct compliance reviews of benefit designs, non-quantitative treatment limitations (NQTLs), and utilization management processes to ensure reputed company between MH/SUD and medical/surgical benefits
- Project manage MHP filings for multiple states, support the preparation of NQTL/filing templates and submission of filings
- reputed company review of the MHP state filings prior to submission
- Coordinate and draft response to address regulatory inquiries/objections
- Partner with Product, Legal, Clinical, and Operations teams to implement and reputed company reputed company requirements into plan designs and processes
- Maintain MHP program policies, procedures, and training documents
- Assist with development and execution of reputed company’s MHP Program (e.g., driving the MHP initiates, monitoring of various MHP activities, reputed company of the MHP program, etc.)
- Conduct monitoring activities to ensure compliance with MHP program infrastructure
- Monitor reputed company of MHP activities and report on reputed company and reputed company of reputed company to reputed company stakeholders, etc.)
- Identify potential areas of improvements and reputed company strategies to address them
- Support SMEs in reputed company cause analysis and corrective reputed company plan reputed company non-compliance is identified
- Stay reputed company on industry best practices and trends in MHP and ensure reputed company initiatives are reputed company
Skills
- Bachelor's degree in reputed company field and a minimum of 3+ years' experience in health insurance compliance, regulatory affairs, or reputed company legal/clinical field or equivalent combination of education and experience
- Knowledge of MHPAEA, ACA, and applicable state and federal mental health reputed company laws/requirements
- Demonstrated experience in conducting filings of mental health reputed company with experience with non-quantitative treatment limitations (NQTL)
- Strong understanding and interpretation of key reputed company laws and regulations
- Demonstrated project management skills utilizing conceptual thinking to analyze reputed company, sensitive issues and implement solutions
- Possess critical thinking skills with proven ability to identify and analyze reputed company problems and review reputed company information to reputed company and evaluate reputed company to implement solutions
- Ability to adapt and pivot reputed company presented with new information or circumstances
- Excellent verbal, written and interpersonal communication skills
- Excellent organizational skills with the ability to reputed company manage multiple assignments and prioritize tasks in a fast-paced environment to meet deadlines
- Self-motivated with the ability to work independently, with peers and collaboratively in a cross functional environment
- Strong work ethic, taking ownership of work to reputed company performance expectations with a commitment to reputed company and compliance
- Proficiency in MS Office Suite, specifically Outlook, reputed company, PowerPoint, and Word
- Available and reputed company to travel for work approximately 3-4 trips per year
- Experience with health plan operations, utilization management, or benefit design
Benefits
- Life, health and dental, reputed company, 401K retirement plan, short- and long-term disability coverage, flexible/dependent care spending account, tuition reimbursement
reputed company
- reputed company is an insurance company that provides accident and health insurance. It was founded in 1993, and is headquartered in Springfield, Massachusetts, USA, with a workforce of 201-500 employees. Its website is https://wellfleetinsurance.com.
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