MHPAEA Analyst

Contact Us
 
  • Remote
  • Wednesday, April 28th, 2021

Examination Resources, LLC

Job Description:

Mental Health Parity and Addiction Equity Act (MHPAEA) Analyst (Remote)

Summary

Join a dynamic group of insurance regulatory consultants with a mission of protecting consumers as it relates to mental health access and services. This role is remote but everything our team does is connected. The MHPAEA Analyst will perform audits of health insurance companies with respect to compliance with MHPAEA as it relates to market reviews, internal policies and procedures, plan designs, and utilization review practices. Our work is conducted on behalf of State and Federal regulatory entities.

Primary Responsibilities:

  • Analyzing company documentation for compliance with the requirements of the Mental Health Parity and Addiction Equity Act
  • Documenting and summarizing results of analysis to show evidence of compliance issues and conclusions reached
  • Develop recommendations for corrective actions to remediate instances of non-compliance
  • Draft requests for information (RFI) and compliance communications to audit stakeholders in order to clearly convey audit results and ensure corrective actions are taken to obtain compliance

Required Qualifications:

  • Three+ years of health insurance regulatory and compliance experience, preferably audit experience
  • Ability to manage multiple projects while meeting internal and external deadlines
  • Exceptional written and oral communication skills
  • Ability to adapt to frequently changing priorities
  • Strong problem-solving and critical thinking skills
  • Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook) and Adobe Acrobat PDF
  • College degree, or equivalent experience required

Preferred Qualifications:

  • Insurance industry designations such as Market Conduct Management (MCM), Accredited Insurance Examiner (AIE), and/or Certified Insurance Examiner (CIE)
  • An understanding of how the MHPAEA requirements apply to health insurance policies, financial requirements, non-quantitative treatment limitations, fail first requirements, levels of care, step therapy, network adequacy, utilization review, medical necessity review criteria, and how formularies are set

Who Should Apply:

  • Regulatory Compliance Professionals
  • Health Insurance Industry Professionals and Consultants
  • Health Policy Analysts
  • Individuals with an auditing background and/or investigative skills
  • Individuals with a curious mindset

Resume Submission Information:

Qualified candidates are invited to submit their resumes to carolinebergh@examresources.net.

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