[Hiring] Mental Health Parity Coordinator @PacificSource Health Plans

Role Description

The Mental Health Parity Coordinator is responsible for supporting PacificSource’s compliance with federal and state mental health parity laws and regulations, including the Mental Health Parity and Addiction Equity Act (MHPAEA). This role coordinates parity analyses, documentation, and reporting to ensure behavioral health and substance use disorder benefits are administered in compliance with regulatory requirements. The coordinator partners closely with Compliance, Legal, Behavioral Health, Medical Management, Benefits, and Vendor Management teams to identify parity risks, support corrective action, and promote consistent, compliant benefit administration.

• Coordinate and support enterprise compliance with MHPAEA and related state mental health parity requirements.
• Assist in conducting and maintaining Non Quantitative Treatment Limitation (NQTL) analyses, including documentation, comparative review, and regulatory readiness.
• Monitor benefit designs, utilization management practices, provider network standards, reimbursement methodologies, and administrative processes for parity compliance.
• Partner with internal teams and delegated vendors to gather data, policies, procedures, and evidence required for parity reviews.
• Track regulatory guidance, enforcement activity, and emerging parity requirements; support implementation of changes as needed.
• Support regulatory examinations, audits, and information requests related to mental health parity.
• Document findings, risks, mitigation strategies, and corrective actions; maintain organized and audit ready parity files.
• Coordinate issue resolution and follow up with internal stakeholders to ensure timely remediation of identified gaps.
• Provide education and guidance to internal teams regarding mental health parity requirements and compliance expectations.
• Participate in cross functional workgroups and compliance committees related to behavioral health, benefits, and regulatory oversight.
• Support ongoing compliance reporting and leadership updates as requested.

Qualifications

• Minimum of 3 years of experience in healthcare compliance, behavioral health, utilization management, regulatory analysis, health insurance industry or other medical setting is required.
• Experience with mental health parity, behavioral health operations, Medicaid, Medicare, or commercial health plan administration is preferred.
• Familiarity with regulatory audits, document review, and cross functional coordination also preferred.
• A bachelor’s degree in healthcare administration, public health, business, legal studies, or a related field required.
• Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
• Advanced education or compliance related certifications are preferred.

Requirements

• Strong understanding of health insurance operations and regulatory compliance principles.
• Knowledge of MHPAEA and behavioral health benefit administration is preferred.
• Ability to analyze policies, processes, and comparative data to identify compliance risks.
• Strong organizational, documentation, and attention to detail skills.
• Effective written and verbal communication skills with the ability to collaborate across technical and non-technical teams.
• Ability to manage multiple priorities, maintain confidentiality, and work independently with minimal supervision.

Benefits

• Base Range: $56,779.86 - $96,525.75
• The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage.
• Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.

Company Description

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age.

• PacificSource values the diversity of our community, including those we hire and serve.
• We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.