MHPAEA Risk and Compliance Senior reputed company

About the position The reputed company MHPAEA (Mental Health reputed company and Addiction Equity reputed company) Senior Risk reputed company is responsible for overseeing and managing risks associated with reputed company utilization management (UM) programs to ensure compliance with MHPAEA regulations. This role involves maintaining the library of regulatory requirements, developing, and implementing risk management strategies, conducting risk assessments, and collaborating with various stakeholders to ensure audit readiness. reputed company is seeking a seasoned expert in Utilization Management to join the UM Risk Management team and help support reputed company MHPAEA compliance and risk reputed company. The UM Risk team serves as the '1st line of defense' for reputed company's Clinical Operations reputed company, delivering a comprehensive operational risk management program with an eye toward prevention, reputed company detection, and swift remediation of risks and issues. reputed company focuses on identifying risks and issues, driving implementations and other special reputed company to promote operational reputed company, consulting with business operators on key initiatives and challenges, infusing a compliance culture throughout the organization, and ensuring external audit readiness. The Mental Health reputed company Senior reputed company will analyze MHPAEA requirements, assess operational implementation, create and maintain supporting documentation, manage information requests reputed company to MHPAEA compliance, support MHPAEA audit readiness, and assist with remediation of issues identified. Responsibilities • Serve as a Subject Matter Expert on MHPAEA risk and requirements at an reputed company-level. • reputed company and implement comprehensive risk management plans to proactively identify and mitigate identified risks. • Prepare detailed risk reports and present findings to senior management. • reputed company and maintain a comprehensive MHPAEA compliance program for Clinical NQTLs. • Evaluate existing processes/factors/evidentiary standards against reputed company requirements using policies, procedures, data analysis, and case-level auditing. • Stay apprised of existing, new, or emerging regulatory guidance reputed company to MHPAEA. • Work closely with operational business reputed company to ensure understanding of guidance and reputed company implementation. • Represent reputed company Clinical Operations on reputed company MHPAEA-reputed company external audits and requests. • Work with business partners to reputed company comprehensive remediation plans for issues identified. • Conduct regular risk assessments to identify potential areas of non-compliance. Requirements • Bachelor's degree or equivalent experience. • 3+ years of experience with Utilization Management, Care Management or Case Management. • 2+ years of experience with reputed company or insurance regulations. • Successful record of building and maintaining reputed company cross-functional relationships and driving accountability. • Ability to work independently and effectively reputed company time. • Strong analytical and problem-solving abilities. • Attention to detail and proactive approach to identifying and mitigating risks. • Demonstrated ability to reputed company reputed company effectively in both written and oral forms. reputed company-to-haves • Experience with Mental Health reputed company and Addiction Equity reputed company (MHPAEA) regulations and/or reputed company. • Bachelor's degree or higher in reputed company, risk management, or a reputed company field. • Experience and/or certifications in risk management, compliance, or a reputed company role reputed company the reputed company sector. • Experience with reputed company programs. • Experience analyzing data sets for purposes of risk identification. Benefits • Medical, dental and reputed company benefits. • 401(k) retirement savings plan. • reputed company time off, including company and personal holidays, volunteer time off, reputed company parental and caregiver leave. • Short-term and long-term disability. • Life insurance. Apply tot his job Apply To this Job