Privacy Compliance Consultant
2 weeks ago
The Privacy Office team is dedicated to the development, execution, and supervision of Blue Shield's Privacy Program.
This program ensures 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 enhancing and enforcing Blue Shield's Privacy Program.
Your ResponsibilitiesIn 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 training programs for workforce privacy, address privacy inquiries, conduct investigations into potential privacy breaches, perform privacy assessments, manage privacy-related contracts, and monitor Business Associate vendor compliance with privacy standards.
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, identify root causes of incidents, and collaborate with affected business/operational teams to develop and complete corrective action plans to remediate privacy violations and minimize recurrence risks.
Assist in evaluating and determining the appropriateness of requests from workforce members to disclose PHI to third parties or allow third-party access to Blue Shield PHI; review requests for minimum necessary determinations and ensure appropriate authorizations and contractual documentation are in place.
Support individuals who reach out to the Privacy Office with privacy-related concerns, complaints, or allegations of 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, procedures, resource guides, job aids, and other educational materials as requested.
Perform additional privacy-related duties as required.
Your Qualifications
Requires a bachelor's degree or equivalent experience.
Requires a minimum of 7 years of relevant experience.
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 privacy-related consumer protection laws, 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 role is $109,120.00 to $163,680.00 for California.
Note:
This range represents the compensation for this and many other positions at Blue Shield that fall within this pay grade.
Blue Shield salaries are determined by various factors, including the candidate's experience, location, and current employee salaries for similar roles.
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