About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You'll Have

In this position, you will collaborate with other internal departments and associates across the enterprise, to efficiently and effectively manage daily tasks and projects relating to the organization’s compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA), its regulations, and state laws and requirements incorporating the MHPAEA.  You will report to the Director and Lead Counsel, Mental Health Parity Compliance.  Requires expertise in developing and maintaining strong business relationships, and collaborating with cross-functional, cross-divisional stakeholders to achieve desired objectives within tight deadlines.

What You'll Do

• Identifies key issues to assist other parity compliance team members and business owners.
• Responsible for developing, implementing, and overseeing cross functional and cross departmental activities to educate on and document compliance with the Mental Health Parity and Addiction Equity Act and its regulations (MHPAEA).
• Develops and continually updates program or project plans, timelines, and deliverables while coordinating multiple sub-processes to develop, expand, and improve parity compliance comparative analyses.
• Drives to and delivers high quality solutions with aggressive timeframes and high-level stakeholder satisfaction.
• Develops and implements a communication plan in conjunction with leadership to support the initiative including communicating to key internal stakeholders.

How You'll Do It

• Ensures written mental health parity standards, policies and procedures are reviewed and refined in collaboration with internal subject matter experts and key business leaders.
• Attends applicable committee meetings of enterprise stakeholders to regularly review changes in policy, payment, strategy, and operations that may impact mental health parity.
• Develops and maintain an organizational mental health parity documentation repository detailing Blue Cross’s operating model, processes, and best practices related to parity.
• Develops and directs all preparation for deliverables, audits, and responses to inquiries relating to the MHPAEA.
• Oversee the internal monitoring and compliance reviews, corrective action, and related remediation.
• Manage escalated Mental Health Parity inquiries from either state/federal regulators or internal business partners.
• Review and update behavioral health parity related training, communication, and education as needed.
• Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

• 7+ years of related health solutions/services professional experience.
• Bachelor’s degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

• 2+ years experience with healthcare regulations including Mental Health Parity (MHPAEAA) Federal Regulatory requirements and applicable state laws.
• 2+ years Provider Network experience.
• Master's degree in related field.
• Ability to translate complex information into actionable messaging, actively listen to diverse perspectives, and drive alignment across cross-functional priorities.
• Ability to analyze complex challenges, evaluate tradeoffs, and collaborate with stakeholders to reach effective, lasting solutions.
• Ability to effectively organize work, balance shifting priorities, and manage time across multiple workstreams to meet commitments.
• Healthcare experience and/or knowledge of the managed care and health care/insurance industry.
• Medicaid and commercial insurance experience.
• Understanding of population health management trends, clinical program design, and healthcare market dynamics.
• Experience developing and implementing strategy and strategic initiatives.
• Process improvement and ability to implement tools or systems that improve team efficiency and accuracy.
• Understanding of medical claims and coding.

Role Designation

Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits

$102,400.00 - $138,300.00 - $174,200.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical requirements.