
Website United HealthCare
Job Responsibilities:
- Identify operational gaps that raise risk or demonstrate deficiency- develop project plans to drive remediation
- Fulfill CAA MHP requests and ensure compliance with federal requirements
- Prepare Non-Quantitative Treatment Limitation (NQTL) state filings, ensure proper data analysis, audits, factors, and review of national NQTL analysis outcomes are conducted, documented and reportable
- Additional regulatory change management support as needed
- Collect and coordinate information and prepare regulatory documentation for submission to regulatory agencies or to internal partners
- Support implementation of state and federal Mental Health Parity (MHP) regulatory change management, analyze performance and ensure compliance with regulatory standards as well as other key performance metrics
- Develop communications, drive problem resolution, and facilitate auditing/monitoring processes to help the business address processes that are not meeting compliance requirements
- Equate federal and state requirements to various operational processes
Job Requirements:
- Demonstrated ability to handle multiple projects simultaneously and prioritize projects
- Ability to perform complex conceptual analyses
- Ability to translate highly complex concepts in ways that can be understood by a variety of audiences
- Intermediate Proficiency with MS Word, Excel, Outlook, Adobe Professional
- Self-starter who can work independently to meet time sensitive deliverables
- Excellent communication of complex information via phone and emails to internal customers
- Strong analytical, problem solving, and organizational skills
Qualification & Experience:
- Experience responding to inquiries from a variety of stakeholders (external customers, internal customers, executives, and regulators)
- 2+ years of experience working with Commercial health insurance
- 2+ years of experience with project management skillset
- High School Diploma/ GED (or higher) OR 2+ years working in a professional position and/or office/remote environment
- 2+ years of experience working in regulatory/compliance
- Experience researching laws and regulations
Job Details:
Company: United HealthCare
Vacancy Type: Full Time
Job Location: De Pere, WI, US
Application Deadline: N/A
Jobsfiller.net