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Clinical Health Parity Analyst

2 months ago

Boston, Massachusetts, United States Willis Towers Watson Full time
{"Job Title": "Mental Health Parity Clinical Analyst", "Job Summary": "We are seeking a highly skilled Clinical Health Parity Analyst to join our team at Willis Towers Watson. As a key member of our North America client team, you will play a critical role in providing support to our Health and Benefits Consultants and Clients. Your primary responsibility will be to collect and analyze data that informs strategic business decisions, producing high-quality analytical reports for our clients.

Responsibilities:

* Manage NQTL operational data portion of parity assessment, including preparing carrier operational data requests, coordinating with project managers, and attending internal and client kick-off meetings.
* Monitor carrier and vendor responsiveness to data requests, validate completeness of responses, and report any issues or impact to the project timeline.
* Complete initial review of carrier responses for parity projects, map responses to appropriate sections of the NQTL document, and cite specific references, criteria, and examples.
* Draft gap analysis based on documents reviewed, including master templates and client-specific responses, and collaborate with health management senior reviewers and project managers to conduct follow-up calls and emails with carriers and vendors as needed.
* Support the overall completion of the NQTL operational data component of the report, schedule meetings, and coordinate efforts of colleagues.
* Participate in weekly or bi-weekly project status calls and MHPAEA office hours as needed.

Requirements:

* 2-5 years of experience dealing with health and welfare plans, ideally gained in a benefit consulting/brokerage firm, health plan, third-party administrator, regulatory agency, legal/compliance firm, or insurance company.
* US Registered Nurse or LCSW with active licensure preferred.
* Health analytics experience preferred.
* Understanding of health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes, and health plan operations.
* Basic understanding of Mental Health Parity and Mental Health Parity Non-Qualitative Treatment Limits.
* Well-organized and detail-oriented.
* Strong project management and critical thinking skills.
* Self-starter attitude and ability to work individually and as part of a team.
* Strong written and verbal communication skills.
* Sense of accountability and ownership.
* Flexibility and proven ability to identify and resolve issues.
* Strong analytical, creative, and integrative skills.
* Ability to ask the right questions and seek help where appropriate from colleagues and clients.
* Strong client service orientation and ability to respond to all communications effectively and in a timely manner.
* Excellent Microsoft Office skills, particularly in Excel and PowerPoint.

What We Offer:

* Competitive base salary range of $80,000 - $100,000 USD.
* Annual short-term incentive bonus.
* Comprehensive benefit package, including health and welfare benefits, leave benefits, and retirement benefits.

If you are a motivated and detail-oriented individual with a passion for healthcare and analytics, we encourage you to apply for this exciting opportunity.

Please note that this position will remain posted for a minimum of three business days from the date posted or until a sufficient/appropriate candidate slate has been identified.

We are an equal opportunity employer and welcome applications from diverse candidates.