Privacy Compliance Consultant

2 weeks ago

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

Your Role

The Privacy Office team is dedicated to the creation, execution, and supervision of Blue Shield's Privacy Program. This program guarantees that Blue Shield and its associated covered entities adhere to state and federal privacy regulations, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), and California's Confidentiality of Medical Information Act (CMIA). The Privacy Program Consultant will report to the Privacy Office Manager or the Director. In this capacity, you will play a vital role in the Privacy Office's ongoing efforts to enhance and enforce Blue Shield's Privacy Program.

Your Responsibilities

In this position, you will:

  • Oversee Blue Shield's adherence to state and federal privacy regulations, including the privacy aspects of HIPAA and HITECH.
  • Design and implement workforce privacy training initiatives, address privacy inquiries, conduct investigations into potential privacy breaches, perform privacy assessments, manage privacy-related contracts, and monitor vendor compliance regarding privacy.
  • Serve as a subject matter expert on privacy issues for various business units.
  • Investigate, document, and respond to privacy complaints and incidents reported to the Privacy Office.
  • Lead privacy investigations, ensure mitigation efforts, identify root causes of incidents, and collaborate with affected business/operational teams to develop and execute corrective action plans to address privacy violations and reduce the risk of recurrence.
  • Assist in evaluating and determining the appropriateness of requests from workforce members to disclose protected health information (PHI) to third parties and/or to permit third parties to access, use, or disclose Blue Shield PHI; review requests for minimum necessary determinations and the existence of suitable authorizations and/or contractual documentation.
  • Support individuals who reach out to the Privacy Office with privacy-related concerns, complaints, or allegations of privacy violations; provide guidance and expertise to other Privacy Office team members as needed.
  • Assist in the timely creation, review, revision, and updates of privacy policies, procedural documents, resource guides, job aids, and other educational materials.
  • Perform additional privacy-related tasks as required.

Your Qualifications

  • A bachelor's degree or equivalent experience is required.
  • A minimum of 7 years of relevant experience is necessary.
  • At least 5 years of experience related to privacy in healthcare data is preferred.
  • IAPP CIPP/US Certification or HCCA, CHPC Certification is preferred.
  • Comprehensive knowledge of state and federal privacy laws, including HIPAA/HITECH, CMIA, and consumer protection laws related to privacy, such as the Telephone Consumer Protection Act (TCPA) is essential; familiarity with Department of Health Care Services (DHCS) privacy requirements for Medi-Cal Managed Care Health Plans and Centers for Medicare and Medicaid (CMS) Medicare Managed Care Plans is preferred.

Compensation Range: The compensation range for this position is $109,120.00 to $163,680.00 for California.

Note: This range reflects the compensation for this and various other roles at Blue Shield that fall within this pay grade. Salaries at Blue Shield are determined by several factors, including the candidate's experience, location, and current employee salaries for similar positions.

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