Mental Health Parity Compliance Analyst

Wellfleet, a Berkshire Hathaway company, delivers customer-centric accident and health insurance, with quality service and uncompromising ethics. Wellfleet works to protect people against risk throughout every stage of life – from grade school to college to the workplace. Founded in 1993 as Consolidated Health Plans (CHP), Wellfleet, headquartered in Springfield, Mass., is one of the nation’s leading providers of health and accident insurance products to the higher education market. We are seeking an experienced Mental Health Parity (MHP) Compliance Analyst who will assist our Compliance team in leading company efforts to promote and support MHP. This role is responsible for ensuring Wellfleet’s compliance with federal and state MHP laws, including the Mental Health Parity and Addiction Equity Act (MHPAEA). This position will lead various MHP initiatives and provide support to Wellfleet’s Legal team and key operational areas throughout the business to ensure compliance with MHP requirements. In addition, this role involves reviewing and analyzing MHP regulations, working closely with Wellfleet Legal team to understand impact, and supporting the implementation of Wellfleet’s MHP Program Policy. In this role, you will… • Monitor and interpret federal and state regulations related to mental health parity (MHPAEA, ACA, state mandates) • Conduct compliance reviews of benefit designs, non-quantitative treatment limitations (NQTLs), and utilization management processes to ensure parity 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 • Perform 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 integrate parity requirements into plan designs and processes • Maintain MHP program policies, procedures, and training documents • Assist with development and execution of Wellfleet’s MHP Program (e.g., driving the MHP initiates, monitoring of various MHP activities, oversight of the MHP program, etc.) • Conduct monitoring activities to ensure compliance with MHP program infrastructure • Monitor progress of MHP activities and report on progress and impact of parity to internal and external stakeholders, etc.) • Identify potential areas of improvements and develop strategies to address them • Support SMEs in root cause analysis and corrective action plan when non-compliance is identified • Stay current on industry best practices and trends in MHP and ensure Wellfleet initiatives are aligned. We are looking for candidates with… • Bachelor’s degree in related field and a minimum of 3+ years’ experience in health insurance compliance, regulatory affairs, or related legal/clinical field or equivalent combination of education and experience • Knowledge of MHPAEA, ACA, and applicable state and federal mental health parity laws/requirements • Demonstrated experience in conducting filings of mental health parity with experience with non-quantitative treatment limitations (NQTL) Strong understanding and interpretation of key healthcare laws and regulations • Experience with health plan operations, utilization management, or benefit design is preferred • Demonstrated project management skills utilizing conceptual thinking to analyze complex, sensitive issues and implement solutions • Possess critical thinking skills with proven ability to identify and analyze complex problems and review related information to develop and evaluate options to implement solutions • Ability to adapt and pivot and when presented with new information or circumstances • Excellent verbal, written and interpersonal communication skills • Excellent organizational skills with the ability to efficiently 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 achieve performance expectations with a commitment to integrity and compliance • Proficiency in MS Office Suite, specifically Outlook, Excel, PowerPoint, and Word • Available and able to travel for work approximately 3-4 trips per year. Why Wellfleet? Here at Wellfleet, we foster a culture of growth that enables engaged and high-performing professionals to be empowered to deliver our mission and vision. Our employees are a team devoted to providing customer service that exceeds expectations of our members and clients. Successful team members continually look for ways to improve product delivery and value. Wellfleet offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, 401K retirement plan, short- and long-term disability coverage, flexible/dependent care spending account, tuition reimbursement, and business casual dress. Are you interested in exploring a career at Wellfleet? Explore our open positions. General: Wellfleet is part of the MedPro Group family. As such, all Wellfleet team members are employees of MedPro Group Inc. We are an Equal Opportunity Employer. The annual gross base salary range is $85,000 to $95,000. This range anticipates the low and high end of the salary for this position. Actual salaries will vary and are based on factors such as a candidate’s qualifications, skills and competencies. Salary is one component of Wellfleet’s total compensation and benefits package, which includes medical, vision and dental insurance options, life and accident insurance, 401(k), and short-term and long-term disability insurance. For a more detailed overview, visit our careers website at: wellfleetinsurance.com/about/careers. #LI-KS1 #LI-Remote Apply tot his job