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Privacy Compliance Consultant
2 months ago
The Privacy Office team is tasked with the development, execution, and supervision of Blue Shield's Privacy Program.
This program guarantees that Blue Shield and its associated covered entities, including Blue Shield of California Promise Health Plan, adhere to state and federal privacy statutes and regulations, such as 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 its 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.
- Develop and implement training programs focused on workforce privacy, respond to 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 address privacy complaints and incidents reported to the Privacy Office.
- Lead privacy investigations, ensure mitigation, identify root causes of incidents, and collaborate with affected business and operational teams to create and complete corrective action plans to remediate privacy violations and reduce recurrence risks.
- Evaluate and determine the appropriateness of requests from workforce members for disclosing PHI to third parties and/or allowing third parties to access, use, or disclose Blue Shield PHI; review requests for minimum necessary determinations and verify the existence of appropriate authorizations and/or contractual documentation.
- Assist individuals who reach out to the Privacy Office with privacy-related concerns, complaints, or allegations of privacy violations; provide support, guidance, and subject matter expertise to other Privacy Office team members as needed.
- Contribute to the timely creation, review, revision, and updates of privacy policies, procedures, resource guides, job aids, and other educational materials.
- Perform additional privacy-related duties as required.
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 required; familiarity with Department of Health Care Services (DHCS) privacy requirements for Medi-Cal Managed Care Health Plans and Centers for Medicare and Medicaid (CMS) is preferred.
Compensation Range:
The pay range for this role is $109,120.00 to $163,680.00 for California.
Note:
This range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Salaries are determined based on various factors, including the candidate's experience and location.
