Program Director

2 weeks ago

Renton, United States Cambia Health Solutions, Inc Full time

Program Director - Mental Health Parity

Remote in ID, OR, UT, WA

Primary Job Purpose

The Program Director of Mental Health Parity partners with functional leaders across the enterprise to implement and oversee a comprehensive Mental Health Parity program. This includes operational governance and execution of day-to-day Mental Health Parity requirements and collaboration with functional area leaders across the enterprise. Leads a matrixed team to ensure compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA), alignment on business objectives, and driving change. The ideal candidate will have a strong background in health plan operations and a track record of successful implementation of complex regulatory requirements.

General Functions and Outcomes

  • Oversee the implementation of complex mental health parity projects, process improvements, and policy updates as needed to ensure that business operations are aligned with the regulatory requirements and strategic direction of mental health parity within Cambia.

  • Design, propose, and manage the implementation of Cambia's mental health parity strategy in collaboration with matrixed Cambia business areas.

  • Work directly with data and analytics colleagues to identify, interpret, and optimize the operational data compliance within the context of MHPAEA regulatory requirements.

  • Provide leadership and analytical thinking to the development of the foundational MHPAEA program and future growth strategies.

  • Identify critical risks and issues related to mental health parity; drive issue resolution, escalate to senior management and other internal stakeholders, and demonstrate appropriate risk management.

  • Apply clinical understanding and advanced knowledge of health plan operations to achieve organizational expectations outlined in MHPAEA.

  • Develop and maintain internal library of mental health parity policies and procedures.

  • Drive the drafting of Cambia Non-Quantitative Treatment Limitations (NQTL) Disclosure Statements, including working with business partners to update content. Work with Legal and Compliance to ensure NQTL Disclosure Statements meet regulatory guidance. Maintain the NQTL library.

  • Co-chair the Mental Health Parity Committee with internal stakeholders.

  • Monitor results and metrics to ensure deliverables are met and in compliance with department and regulatory standards and contract obligations.

  • Partner with multiple teams of indirect reports across the organization to drive change and operational excellence.

Minimum Requirements

  • Experience executing and driving complex projects that require collaboration in a matrixed environment. Demonstrated competency in organizing work, providing leadership, establishing measures for success, and managing to deliverables.

  • Strong communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues, build consensus among groups of diverse stakeholders, manage strategic partner relationships, and effectively lead and engage internal teams in the fulfillment of roles and responsibilities.

  • Experience identifying and executing strategy across an organization. Strength in strategic thinking, identifying key business issues and opportunities, creating business strategies and driving results across internal teams and/or external partners.

  • Exceptional judgment, problem solving, and analytical skills.

  • Ability to function in a highly ambiguous environment.

  • Exceptional communication skills, including verbal, written, and presentation skills.

  • Success in driving multiple initiatives simultaneously.

  • Demonstrated ability to work successfully in a remote office environment.

Normally to be proficient in the competencies listed above:

Program Director of Mental Health Parity would have a Bachelor's degree in business, health profession, or equivalent with 7 years of experience in business planning, project management, and/or equivalent. Three (3) years' supervisory or leadership experience preferred.

FTEs Supervised

1-7

#LI-Remote

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