Mental Health Parity and Addiction Equity Act (MHPAEA) Clinical Analyst
Summary of RoleThis position is responsible for providing support to United States based Health and Benefits Consultants and Clients.
Within this role, as a member of North America client team, you will collect and analyse data that informs strategic business decisions.
The expectation will be to produce several clients facing analytical reports efficiently and accurately.
Your role on individual projects will include elements such as data collection from vendors/ carriers, data validation, data extracts, conducting focused analyses, developing executive summary for senior H&B stakeholders & client presentations, developing management reports and other activities.
You will continually learn about North America health and benefits concepts and principles and apply these skills in a global environment.
Finally, you will interact with other members of our United States Health and Benefits team and can make important contributions to process improvements and new analytical tools.
This position requires an analytical mind who is detail oriented with work product and outputs using Microsoft Office tools.
The position also requires the ability to accurately execute written and verbal instructions.
The Role Manage Non-Quantitative Treatment Limitation (NQTL)portion of parity assessment Prepare NQTL carrier data requests on behalf of each client Coordinate with Project Manager regarding sending requests, timing, status, and follow-up Attend internal and client kick off meeting with QTL/NQTL team Monitor carrier and vendor responsiveness to questionnaires Validate completeness of response and report any issues or impact to timeline proactively to Project Manager Complete initial review of carrier responses for parity projects Map carrier responses to appropriate section of NQTL document Site specific reference, criteria, and example(s) for each response Draft gap analysis based on documents reviewed including master RFI and client specific responses Collaborate with health management senior reviewer and Project Manager to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documents Support the overall completion of the NQTL component of the report Schedule meetings and coordinate efforts of colleagues Participation in weekly or bi-weekly project status calls as needed Participate in MHPAEA office hours as needed Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards (e.
g.
, filing of drafts, deliverables, client and carrier documentation) The RequirementsRequired Skills and knowledge:
2-5
years' 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 Experience working as a Registered Nurse,MSW, LCSW, Psychologist, or Psychiatrist (active licenses required) 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 se Well-organized and detail oriented Exceptional project management and critical thinking skills Self- starter attitude and ability to work individually and as part of a team Proficient written and verbal communication skills Sense of accountability and ownership Flexibility and proven ability to identify and resolve issues Analytical, creative, and integrative skills Ability to ask the right questions and seek help where appropriate, from colleagues and clients.
Client service orientation and ability to respond to all communications effectively and in a timely manner Excellent Microsoft Office skills, particularly in Excel and Power Point EOE, including disability/vetsCompensation and BenefitsBase salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation.
Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).
CompensationThe base salary compensation range being offered for this role is $140,000 - $160,000 USD.
This role is also eligible for an annual short-term incentive bonus.
Company BenefitsWTW provides a competitive benefit package which includes the following (eligibility requirements apply):
Health and Welfare
Benefits:
Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program) Leave
Benefits:
Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.
g.
, Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (Washington State only) Retirement
Benefits:
Contributory Pension Plan and Savings Plan (401k).
All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.
Recommended Skills Brokerage Case Management Certified Nurse Practitioner Communication Coordinating Creativity Estimated Salary: $20 to $28 per hour based on qualifications.
Within this role, as a member of North America client team, you will collect and analyse data that informs strategic business decisions.
The expectation will be to produce several clients facing analytical reports efficiently and accurately.
Your role on individual projects will include elements such as data collection from vendors/ carriers, data validation, data extracts, conducting focused analyses, developing executive summary for senior H&B stakeholders & client presentations, developing management reports and other activities.
You will continually learn about North America health and benefits concepts and principles and apply these skills in a global environment.
Finally, you will interact with other members of our United States Health and Benefits team and can make important contributions to process improvements and new analytical tools.
This position requires an analytical mind who is detail oriented with work product and outputs using Microsoft Office tools.
The position also requires the ability to accurately execute written and verbal instructions.
The Role Manage Non-Quantitative Treatment Limitation (NQTL)portion of parity assessment Prepare NQTL carrier data requests on behalf of each client Coordinate with Project Manager regarding sending requests, timing, status, and follow-up Attend internal and client kick off meeting with QTL/NQTL team Monitor carrier and vendor responsiveness to questionnaires Validate completeness of response and report any issues or impact to timeline proactively to Project Manager Complete initial review of carrier responses for parity projects Map carrier responses to appropriate section of NQTL document Site specific reference, criteria, and example(s) for each response Draft gap analysis based on documents reviewed including master RFI and client specific responses Collaborate with health management senior reviewer and Project Manager to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documents Support the overall completion of the NQTL component of the report Schedule meetings and coordinate efforts of colleagues Participation in weekly or bi-weekly project status calls as needed Participate in MHPAEA office hours as needed Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards (e.
g.
, filing of drafts, deliverables, client and carrier documentation) The RequirementsRequired Skills and knowledge:
2-5
years' 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 Experience working as a Registered Nurse,MSW, LCSW, Psychologist, or Psychiatrist (active licenses required) 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 se Well-organized and detail oriented Exceptional project management and critical thinking skills Self- starter attitude and ability to work individually and as part of a team Proficient written and verbal communication skills Sense of accountability and ownership Flexibility and proven ability to identify and resolve issues Analytical, creative, and integrative skills Ability to ask the right questions and seek help where appropriate, from colleagues and clients.
Client service orientation and ability to respond to all communications effectively and in a timely manner Excellent Microsoft Office skills, particularly in Excel and Power Point EOE, including disability/vetsCompensation and BenefitsBase salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation.
Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only).
CompensationThe base salary compensation range being offered for this role is $140,000 - $160,000 USD.
This role is also eligible for an annual short-term incentive bonus.
Company BenefitsWTW provides a competitive benefit package which includes the following (eligibility requirements apply):
Health and Welfare
Benefits:
Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program) Leave
Benefits:
Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.
g.
, Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (Washington State only) Retirement
Benefits:
Contributory Pension Plan and Savings Plan (401k).
All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.
Recommended Skills Brokerage Case Management Certified Nurse Practitioner Communication Coordinating Creativity Estimated Salary: $20 to $28 per hour based on qualifications.
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