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Expect scenario questions on non-quantitative treatment limitations, comparative analyses, and how you would investigate a parity complaint at a large insurer. Be ready to walk through a monitoring plan, root-cause findings, and how you prioritize fixes with business partners without inventing unstated Humana processes.
Strong fit if you have health-plan or managed-care compliance experience, especially behavioral health parity, and can lead interpretation and operationalization of complex rules in a large carrier environment based in or commuting to Helena, MT.
As Compliance Lead, Mental Health Parity at Humana, you interpret federal/state MHPAEA rules, review plan designs and utilization controls for parity risk, partner with clinical, product, legal, and ops teams, document monitoring findings, and drive corrective actions so mental health and substance use benefits are administered consistently with medical/surgical standards.
Focus areas for this title (no cert cost data provided):
The listing marks remote as no; location is Helena, Lewis and Clark County, Montana.
Ensuring mental health and substance use benefits and limits are not more restrictive than medical/surgical benefits under applicable parity law and plan design.
Humana is a major U.S. health insurer headquartered in Louisville, Kentucky; this opening is tied to the Helena, MT location in the posting.
Website: humana.com
Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2024, the company ranked 92 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It is the fourth largest health insurance provider in the U.S.
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Compliance Lead, Mental Health Parity at Humana in Helena, Lewis and Clark County Role Overview The Compliance Lead for Mental Health Parity at Humana is responsible for ensuring regulatory and contractual compliance with Mental Health Parity standards both at a federal and state-level. This role primarily focuses on compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA) within Humana's Medicaid market, while also supporting other products within the company's enterprise. What You'll Do Evaluate and monitor compliance with MHPAEA and related regulations for Humana's Medicaid market Develop and maintain policies and procedures to ensure ongoing compliance Collaborate with internal teams to address any compliance issues or concerns Stay updated on regulatory changes and implement necessary updates to policies and procedures Support other products within Humana's enterprise as needed Qualifications Bachelor's degree in healthcare, law, public health, or a related field; advanced degree preferred Minimum of 5 years of experience in compliance, regulatory affairs, or a related field Proven experience with MHPAEA and other relevant mental health parity laws Strong analytical and problem-solving skills Excellent communication and interpersonal skills Aptitude for working in a fast-paced environment About the Company Humana is a leading health and well-being company that empowers people to live their best lives. With a focus on delivering high-quality care, Humana operates in Helena, Lewis and Clark County, and across the United States. Applying for This Role To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. For more information, visit .
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