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Parity Analyst I

  • Location: Philadelphia
  • Job Type:Contract

Posted 14 days ago

  • Expiry Date: 06 November 2021

​​​Job Description:

  • 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

  • Critical thinking

  • 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

  • Clinical background

  • What are nice-to-haves?

  • Insurance, brokerage, vendor background

  • Describe the team and work environment.

  • Work remotely

  • 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

Description:

  • 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

Other requirements:

  • 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.