Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members. We’re committed to reinventing health care to improve health for our members and the community. We hope you'll join us.
How Is This Role Important to Our Work?
The Director, Mental Health Parity, manages a team that guides, supports, and monitors cross-functional operation areas within the organization to be compliant with the federal Mental Health Parity Addiction and Equity Act (MHPAEA) and state mental health parity requirements. This position assists business owners in maintaining a repository of documentation that demonstrates parity compliance and helps translate those requirements to operational process steps that are needed to ensure documentation aligns to current practice. This position reports to the Vice President (VP) Behavioral Health and Mental Health Parity.
A Day in the Life:
Assists the VP, Behavioral Health and Mental Health Parity with corporate governance relating to mental health parity, which includes completing any reporting needed to affirm status of mental health parity oversight and aiding the organization’s legal, compliance, and internal audit areas in their oversight and monitoring efforts.
Maintains current and thorough knowledge and understanding of all state and federal parity requirements, including being informed of industry-specific regulations to ensure that appropriate risk management strategies are in place with respect to mental health parity.
Demonstrates aptitude with operationalizing compliance requirements.
Anticipates, evaluates, and identifies potential organizational needs relating to mental health parity compliance requirements that may result from new or existing organizational policies, procedures, and/or business plans within the organization.
Addresses internal and external requests relating to mental health and substance use disorder information.
Actively contributes to the evolution and execution of the organization’s strategic and operational business plans impacting mental health parity.
Collaborates with all business areas to maintain a current mental health parity documentation repository detailing Blue Cross’ operating models, standards for admission, utilization management, standard claim and appeals processes, and best practices to support organizational focus and adherence to following and documenting compliance with mental health parity laws and regulations.
Collaborates with business areas, including operations, sales, legal, and compliance, to develop appropriate communications and education regarding mental health parity, as needed.
Manages associates that will serve as the mental health parity team to provide guidance, services, and monitoring across the organization’s divisions and department relating to mental health parity.
Required Skills and Experiences:
Accepting this director level position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.
8+ years of related professional experience, with 3+ years of management experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
Professional experience in a government, healthcare, or managed care environment relating to health care operations and regulatory requirements.
At least 5 years of experience addressing mental health parity state and federal laws and regulations, including collaborating with subject matter experts and service providers to obtain input necessary for assessing and demonstrating mental health parity compliance.
Strong interpersonal skills demonstrated by an ability to establish trust and credibility with internal and external stakeholders, with proven capability to work with people at multiple levels in a matrixed organization.
Analytical skills/critical thinking skills; ability to identify potential risks and their impact to the functioning and operations of all divisions; ability to manage complex projects in collaboration with others to timely meet organizational objectives and deadlines.
Excellent and effective communication and presentation skills; both written and oral.
Strategic vision and operational execution; ability to set strategy with other co-leaders that support enterprise goals, and effectively organize staff and influence other leaders across the company to implement tactically.
Make A Difference
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to firstname.lastname@example.org.
All roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
It’s the way we’ve always done things. Through our innate desire to be a trusted partner not only to our members, but to our associates, comes a willingness to go above and beyond to ensure the health and satisfaction of our team. Through the cultivation of a workplace of trust and provision of superior benefits and opportunities, Blue Cross and Blue Shield of Minnesota has always led the way for those wanting to succeed together. Join us.