Compliance Analyst, Privacy

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a subject matter expert in privacy, offering guidance on federal and state healthcare privacy regulations to both internal stakeholders and external clients.

• Evaluate privacy incidents and breaches; generate reports and root-cause analyses, including suggestions for corrective and preventive measures.

• Maintain logs for privacy incidents and follow up on corrective action plans to guarantee prompt and effective resolution.

• Assist in the implementation and continuous improvement of processes and procedures aimed at mitigating identified and potential privacy risks.

• Collaborate with customer health plans across various lines of business, encompassing Commercial, Medicare Advantage, and Medicaid.

• Perform internal privacy monitoring activities and audits to evaluate compliance with policies, procedures, and regulatory requirements.

• Monitor audit findings, verify corrective actions, and facilitate coordination of both internal and external remediation efforts.

• Aid in the maintenance and execution of privacy compliance controls, including monitoring activities and validation of departmental audits.

• Address internal inquiries regarding regulatory interpretation and the application of federal and state healthcare privacy requirements.

• Work alongside internal departments and external vendors to foster consistent privacy practices, proactive risk identification, and a culture of compliance throughout the organization.

• Contribute to the development, maintenance, and execution of privacy compliance tools and processes, such as incident management workflows, reporting mechanisms, and training support.

• Assist in compliance reporting and documentation utilized for leadership, clients, auditors, and regulators.

⛳️ Requirements

• A bachelor’s degree is required.

• At least two years of experience in healthcare privacy or health plan compliance.

• Advanced skills in Microsoft Word, PowerPoint, and Excel.

• Previous experience in interpreting and applying regulatory and/or contractual compliance requirements.

• Professional certification in healthcare compliance (e.g., CHC, CCEP, or privacy-focused certifications like CHPC), or completion of a graduate certificate program in healthcare compliance.

• Familiarity with HIPAA, state privacy laws, and other relevant federal and state healthcare privacy standards.

🏝️ Benefits

• HealthEdge is dedicated to fostering workforce diversity.

• Strong encouragement for all qualified individuals to apply, including, but not limited to, racial and ethnic minorities, women, veterans, and individuals with disabilities.

• Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions of this position in accordance with the Americans with Disabilities Act of 1990.

• Candidates may need to undergo a pre-employment criminal background check.