- Expiry Date: 06 November 2021
What are the major responsibilities of the position?
Serve as the analyst for MHPAEA Non qualitative treatment limit (NQTL) projects
Meeting/Deliverable management Kick off, project status/meeting minutes, prepare data requests, facilitate data collection, data review, prepare gap analysis (PPT) results summary
Communications Manage email back with vendors and internally to support project completion
Review vendor responses and compile NQTL findings, highlight potential gaps in compliance, map to existing processes on Med/Surg
What will the contractor actually be working on
Mental Health Parity Audits for self-funded employers?
Analysis and comparison of current NQTL Mental Health/Substance Use Disorder (MH/SUD) limits, processes, MH/SUD coverage vs. medical surgical coverage
What specific skill sets/technologies are absolutely required to be successful in this role?
Strong project management skills
Analytic approach to review and analysis
Problem solver and independent worker
Proficient with PowerPoint, Excel, Outlook, Microsoft teams, Document Management (sharepointe, TCT)
Understanding of utilization, case and disease management processes (e.g., prior authorization, concurrent review)
Health plan background
What are nice-to-haves?
Insurance, brokerage, vendor background
Describe the team and work environment.
Collaborative team internal meetings from kick-off, analysis and final deliverable
What would be attractive about this position?
Ability to work remotely
Flexible work schedule within delivery timeframe
Perfect for self-directed and motivated individuals
Once project completed, ability to leverage knowledge/process for additional projects
Manage NQTL portion of parity assessment, including:
Monitor carrier and vendor responsiveness to questionnaires
Complete initial review of carrier responses for parity projects
Draft gap analysis based on documents reviewed
Collaborate with health management senior reviewer 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
Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards
1-2 years experience dealing with health and welfare plans, ideally gained in a benefit consulting/brokerage firm or insurance company
Understanding of health plan utilization/case management processes, network management and pharmacy prior-authorization processes
Basic understanding of Mental Health Parity NQTLs
Well-organized and detail oriented
Strong project management skills
Demonstrates critical thinking skills
Self- starter attitude and ability to work individually and as part of a team
Strong written and verbal communication skills
Sense of accountability and ownership
Flexibility and proven ability to identify and resolve issues
Strong analytical, creative and integrative skills
Ability to ask the right questions and seek help where appropriate, from colleagues and clients.
Strong 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 and document management (sharepoint, TCT)
About ASK: ASK Consulting is an award-winning technology and professional services recruiting firm servicing Fortune 500 organizations nationally. With 5 nationwide offices, two global delivery centers, and employees in 42 states-ASK Consulting connects people with amazing opportunities
ASK Consulting is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.