- Lead Mass General Brigham Health Plan's strategic and compliance driven activities to support mental health parity across all applicable lines of business.
- Lead all mental health parity reporting efforts by working cross-functionally with our business partners to develop the annual mental health parity workplan. Ensure that all submissions are done in a timely and thoughtful manner.
- Review workplan and deliverables to determine areas of efficiency.
- Present relevant mental health parity topics at the quarterly Mental Health Parity Committee meetings.
- Analyze data to ensure compliance with mental health parity requirements as written and applied in practice.
- Lead implementation of new state and federal mental health parity requirements.
- Assist with other regulatory interpretation and implementation efforts and compliance projects, and other duties as assigned.
- Strong leadership, communication and presentation skills.
- Demonstrate Mass General Brigham Health Plans' core brand principles of always listening, challenging conventions, and providing value.
- Bring fresh ideas forward by listening to and working with employees and the people we serve.
- Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
- Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
- Strong aptitude for technology-based solutions.
- Ability to inject energy, when and where it's needed.
- Current in healthcare trends.
- Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be."
- Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
- Excellent leadership skills and leadership track record.
- Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
- Ability to view the long-range trends and cycles of the business and industry and see the "big picture."
- Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
- Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
- Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
- Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
- Unquestionable integrity.
- Bachelor's Degree required or the equivalent combination of training and experience, plus 3-6 years of experience in program management, compliance oversight and/or regulatory implementation.
- Proven ability to successfully lead cross-functional teams.
- 3 to 6 years of experience within a health plan.
- Experience with mental health parity requirements, both state and federal.
- Experience in managed care, regulatory requirements and program management/oversight.
- No direct budgetary responsibility
- Demonstrates fiscal responsibility by effectively using Mass General Brigham Health Plan resources
- Normal home office working conditions.
- Hybrid - mostly remote work setting requiring an onsite presence to Assembly Row, Somerville 1x/month
Mental Health Parity and Compliance Manager - Somerville, United States - Brigham and Women's Hospital
Description
Job Description - Mental Health Parity and Compliance ManagerMental Health Parity and Compliance Manager
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Mass General Brigham Health Plan is an exciting place to be within the healthcare industry.
As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems.
Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees.Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
Reporting to the Director, Legal, Regulatory Affairs & Compliance, the Mental Health Parity and Compliance Manager will be responsible for overseeing Mass General Brigham Health Plan's mental health parity program and initiatives and will work on other regulatory and compliance matters as assigned.
The Manager will work cross-functionally with all impacted business areas to meet state and federal regulatory mental health parity reporting deliverables and other regulatory and compliance matters.
The Manager will be responsible for developing an annual workplan for the mental health parity program deliverables.The Manager will also work with the business to develop and report metrics for all applicable lines of business to the Mental Health Parity Committee.
The Mental Health Parity and Compliance Manager will lead the planning and execution of all mental health parity activities including, but not limited to, the development and management of the annual workplan, the management and oversight of regulatory audits, examinations, requests and responses and the coordination of ongoing maintenance of mental health parity documentation.
The Manager will also work with the Director on other regulatory and compliance priorities as assigned.Principal Duties and Responsibilities:
Qualifications:
Required:
Preferred/Desired:
Fiscal Responsibility:
Working Conditions: