Job Description

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

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.

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.

Essential Responsibilities:

• 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.

Supporting Responsibilities:

• Maintain accurate documentation in accordance with company policies and regulatory standards.
• Meet department and company performance expectations.
• Perform other duties as assigned.
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.

SUCCESS PROFILE

Work Experience: 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.

Education, Certificates, Licenses: 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.

Knowledge: 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.

Competencies

Adaptability

Building Customer Loyalty

Building Strategic Work Relationships

Building Trust

Continuous Improvement

Contributing to Team Success

Planning and Organizing

Work Standards

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 10% of the time.

Skills:

Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork

Compensation Disclaimer

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. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.

Base Range:

$56,779.86 - $96,525.75

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.