Compliance and Data Protection Expert

7 days ago


Oakland, California, United States Blue Shield of California Full time

Job Summary:

We are seeking a Compliance and Data Protection Expert to join our team at Blue Shield of California. In this role, you will play a critical part in ensuring our organization's compliance with state and federal privacy laws, including HIPAA and HITECH.

About the Role:

  • You will be responsible for overseeing our compliance with state and federal privacy laws, including HIPAA and HITECH, and auditing and monitoring our compliance with the Privacy Program.
  • You will develop and assist with the implementation of workforce privacy trainings, privacy policies, desk level procedures, resource guides, job aides, and other educational tools.
  • You will assist, evaluate, and determine appropriateness of ad hoc requests from internal clients to disclose protected health information (PHI) to third parties and/or to allow third parties access to, or use of, Blue Shield PHI.
  • You will respond to privacy complaints and incidents reported to the Privacy Office, lead assigned privacy investigations, timely and accurately document case files, direct investigations into root cause analysis, address mitigation, and work with impacted business units to develop and complete corrective action for remediation and to minimize risk of recurrence.
  • You will consult with internal clients, as a subject matter expert, to provide privacy guidance about proposed projects and initiatives.
  • You will respond to third-party privacy-related requests.
  • You will negotiate Business Associate Agreements.
  • You will act as a liaison with regulatory enforcement agencies to address technical assistance letters, investigation compliance reviews, audits, and other related reviews.

About You:

  • You require a bachelor's degree or equivalent experience.
  • You require at least 7 years of prior relevant experience.
  • You require prior experience in healthcare, legal services, privacy, audit, investigative services, systems or operations support, corporate training, or another related field.
  • You require a solid understanding of state and federal privacy laws, including HIPAA/HITECH, CMIA, and privacy-related consumer protections laws, such as the Telephone Consumer Protection Act (TCPA), as well as knowledge of Department of Health Care Services (DHCS) privacy requirements for Medi-Cal Managed Care Health Plans and Centers for Medicare or Medi-Cal and Medicaid (CMS) Medicare or Medi-Cal Managed Care Plans.
  • Preferred: Privacy healthcare-related experience that includes a familiarity with Privacy Impact Assessments and Data Protection Impact Assessments; auditing and monitoring; investigating, managing, and reporting privacy incidents; health information management.
  • Preferred: CIPP/US Certification or HCCA CHPC Certification.

About the Salary:

The estimated salary range for this position is $109,120 to $163,680 per year based on location within California.



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