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Privacy Officer and Director of Compliance

3 months ago

Boise, United States Anonymous Full time

Job Summary 


Privacy Officer

 

The privacy official oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to SHC’s policies and procedures covering the privacy of, and access to, customer health information in compliance with federal and state laws and the healthcare organization’s information privacy practices. Serves as corporate resource for implementation of the privacy requirements under HIPAA and state laws. Accountable for overseeing the development and implementation of corporate-wide privacy principles, policies, and practices. Provides direction in the implementation of administrative, technical, and physical procedures to protect the privacy of protected health information (PHI). Works with consultant(s) selected by the organization to assess the current state of privacy practices, conduct risk/gap analysis, develop new policies and procedures and training materials.


Director of Compliance

 

The Director of Compliance manages the compliance programs, policies, reporting, and practices for the business. They ensure that all activities follow regulatory requirements related to the governance of the business as well as industry-specific laws. The oversee internal controls and auditing systems and monitor and report regulated activities and processes. Implement risk-based compliance testing of existing procedures and controls to identify, detect and correct non-compliance.

 Supervisory Responsibilities: 

Team for Complaint Audit and Regulatory Compliance

 

 Duties/Responsibilities: 


Director of Compliance

• Directs, develops, and oversees compliance programs and efforts to ensure that the organization adheres to the applicable laws and regulations.

• Establishes an internal compliance review process and readies the organization for external compliance audits and tests.

• Provides officers and directors with guidance and training to minimize the risk of non-compliant behavior

• Works with all departments to develop a strategy to continuously improve compliance throughout the organization.

• Encourages managers and directors to create a safe work environment for employees to report uncompliant or unethical behavior.

• Collaborates with Human Resources and Legal teams to smoothly enforce compliance obligations and define appropriate disciplinary actions.

• Keeps fully informed on changes to applicable laws and regulations and periodically revises programs and efforts to continue a high level of organizational compliance.

• Reports and presents the current progress and any new developments regarding compliance efforts to fellow officers/board members.

• Represents organization during audits and may provide necessary documents and information.

•Train and appraise individual team members to ensure targets are met

•Directs and manages the performance and development of team members



Privacy Officer

Serves as the Corporate Privacy Official pursuant to the administrative requirements of 45 Code of Federal Regulation, Standards for Privacy of Individually Identifiable Health Information (HIPAA Privacy Rule)

 • Coordinates corporate privacy activities which includes overseeing the establishment, implementation, and adherence to corporate policies on customer privacy, confidentiality and release of customer information 2

 • Coordinates HIPAA project activities as required to include: - Project management - HIPAA consultant liaison - Process change management - Policies and procedures assessment and development -

• Provides leadership in the planning, design, and evaluation of the organization’s privacy and security related projects

• Responsible for documenting and communicating the progress of HIPAA privacy implementation at corporate and with the hospitals

• Works with legal counsel, management, key departments, and committees to ensure the organization has and maintains appropriate privacy and confidentiality consent, authorization forms and information notices

• Works with the Legal Department to review new or revised healthcare laws and regulations (federal and sixteen states) pertaining to customer privacy and determine whether modifications or revisions of policies and procedures are needed

• Provides direction and guidance in special investigations or special projects. Reviews results and recommends actions in coordination with other interested company and outside parties

• Works closely with the Security Official, members of the electronic medical record implementation team, and other information technology personnel to ensure that the organization’s privacy protections keep pace with technological advances

• Coordinates with management, Information Security Official, facility security managers and others to assure physical safeguards to guard data integrity, confidentiality, and availability

• Coordinates with senior management, operational managers, the IS Security Official, IT managers, and business support services to provide for a business continuity plan and disaster recovery service

• Reviews all system-related information security plans throughout the organization’s network to ensure alignment between security and privacy practices, and acts as a liaison to the information systems department

• Provides concise summaries to senior management of complex and detailed regulatory publications and prepares operational impact statements

Must be a Privacy Expert who maintains current knowledge

Complaints System administration skills

Public - Client Relation experience


 

Required Skills/Abilities: 

• Excellent interpersonal skills and customer service focus.

• Strong logical, analytical, critical thinking and problem-solving skills. Excellent computer skills and proficiency in Microsoft Office applications as tested by IEHP.

• Ability to analyze audit trails and other reports to validate appropriate team members access of PHI.

• Knowledge and experience in information privacy laws, access, release of information, and release control technologies

• Substantial computer skills required (Microsoft Office at a minimum) 6



Education and Formal Training

• Bachelors degree from an accredited university or college. Master’s degree preferred

• An individual with a combination of the following: medical records/health information management background, information systems/technology background; compliance, legal or performance improvement background Work Experience


Six (6) years of experience in healthcare data privacy incident investigation and response, preferably in conducting healthcare investigations, health information management, monitoring standards, regulatory compliance, or related experience in the healthcare industry/managed care. Experience leading the day-to-day operations of a program and/or team. Education Qualifications

Professional certifications such as Certified in Healthcare Privacy Compliance (CHPC), Certified Information Privacy Professional (CIPP), Certified in Healthcare Compliance (CHC), Registered Health Information Administrator (RHIA), or similar certification required

 

Demonstrated advanced knowledge and understanding of Health Insurance Portability and Accountability Act (HIPAA) including Breach Notification Requirements, as well as applicable federal regulations and laws affecting the management of confidential protected health information (PHI). Extensive knowledge of federal (CFR 42 Part 2, HIPAA, HITECH) and states privacy, security, and compliance issues related to using and disclosure of protected health information


 Education -Experience 

• Bachelors degree from an accredited university or college. Master’s degree preferred

• An individual with a combination of the following: medical records/health information management background, information systems/technology background; compliance, legal or performance improvement background Work Experience


Six (6) years of experience in healthcare data privacy incident investigation and response, preferably in conducting healthcare investigations, health information management, monitoring standards, regulatory compliance, or related experience in the healthcare industry/managed care. Experience leading the day-to-day operations of a program and/or team.

Professional certifications such as Certified in Healthcare Privacy Compliance (CHPC), Certified Information Privacy Professional (CIPP), Certified in Healthcare Compliance (CHC), Registered Health Information Administrator (RHIA), or similar certification required

 

Demonstrated advanced knowledge and understanding of Health Insurance Portability and Accountability Act (HIPAA) including Breach Notification Requirements, as well as applicable federal regulations and laws affecting the management of confidential protected health information (PHI). Extensive knowledge of federal (CFR 42 Part 2, HIPAA, HITECH) and states privacy, security, and compliance issues related to using and disclosure of protected health information



Physical Requirements:

 

·       The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·       Prolonged periods sitting at a desk and working on a computer and phone line usage.

·       Ability to read, hear, speak, keyboard, reason and problem solve.

·       Requires the use of office equipment such as computer terminals, telephones, or copiers.

·       Close visual acuity to perform activities such as: preparing and analyzing data, transcribing, viewing a computer terminal, extensive reading.