Privacy Program Specialist, Consultant Job at Blue Shield of California, Long Beach, CA

WHMwZXh2UjlEaEhYMkRMakV3U2xmeW9UQVE9PQ==
  • Blue Shield of California
  • Long Beach, CA

Job Description

Privacy Program Specialist, Consultant at Blue Shield of California summary:

The Privacy Program Specialist, Consultant at Blue Shield manages compliance with federal and state privacy laws including HIPAA, HITECH, and CMIA. The role involves investigating privacy incidents, consulting internal clients on privacy issues, developing training and policies, and liaising with regulatory agencies. This position requires expertise in healthcare privacy, incident management, and regulatory compliance to protect sensitive health information and ensure regulatory adherence.

Your Role

The Privacy Office is responsible for development, implementation, and oversight of Blue Shield's Privacy Program. The Privacy Program ensures that Blue Shield and its affiliated covered entities, including Blue Shield of California Promise Health Plan, are in compliance with state and federal privacy laws and 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 Specialist, Consultant reports to the Privacy Office Sr. Manager and plays an essential role in advancing and enforcing Blue Shield's Privacy Program.

Your Work

In this role, you will:

  • Be responsible for the oversight of Blue Shield's compliance with state and federal privacy laws, including the privacy component of HIPAA and HITECH
  • 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
  • Consult with internal clients to review and provide privacy guidance about proposed projects and initiatives and serve as a privacy subject matter expert
  • Respond to privacy-related requests and inquiries
  • Develop and assist with the implementation of workforce privacy training programs, privacy policies, desk-level procedures, resource guides, job aids, and other educational tools
  • Act as a liaison with regulatory enforcement agencies to address technical assistance letters, investigation compliance reviews, audits, and other related reviews
  • 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

Your Knowledge and Experience

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 7 years of prior relevant experience
  • Requires prior experience in healthcare privacy, cybersecurity incident management, investigative services, or another related field
  • Requires 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
  • Excellent organizational skills and strong independent judgment, problem-solving, critical and analytical thinking skills, including an exceptional "moral compass" and work ethic
  • Ability to work collaboratively in a team, perform duties with minimal supervision, multi-task, and to deliver a quality work product in a highly regulated, demanding, and constantly changing corporate environment
  • Proficient in Microsoft Word, Access, Excel, PowerPoint, and Outlook
  • 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
  • CIPP/US Certification or HCCA CHPC Certification preferred
  • Experience and knowledge of compliance or privacy incident management software

Keywords:

privacy compliance, HIPAA, HITECH, CMIA, healthcare privacy, privacy investigations, data protection, regulatory compliance, incident management, privacy training

Job Tags

Contract work,

Similar Jobs

Geisinger

Nurse Practitioner Job at Geisinger

 ...Job Title: Nurse Practitioner Location: Scranton, Pennsylvania Job Category: Nurse Practitioner...  ...Schedule: Days Work Type: Full time Department: Maternal Fetal Medicine...  ...offer healthcare benefits for full time and part time positions from day one, including... 

Career Group

Personal Assistant Job at Career Group

 ...Our client, a family office in New York, is seeking an organized and proactive Personal Assistant to provide support to two presidents. The ideal candidate is detail-oriented, resourceful, and professionalism. This is a wonderful opportunity to grow within a firm and... 

Popeyes - Legacy Chicken

Fast-Food Restaurant Shift Manager West Farmington Job at Popeyes - Legacy Chicken

Fast-Food Restaurant Shift ManagerPopeyes in Farmington, NM is looking to hire a full-time Fast-Food Restaurant Shift Manager . Are you a hard worker with strong leadership skills? Would you like to gain valuable experience in a managerial role? Do you want to join a... 

5 Legal

Venture Capital & Emerging Growth Associate Job at 5 Legal

 ...of the following practice areas: mergers and acquisitions, venture and other financings, corporate governance, joint venture, private equity, capital markets and/or other complex commercial transactions. Exposure to emerging growth companies and venture capital is a plus... 

Cellular Sales Verizon Authorized Retailer

Call Center Representative Job at Cellular Sales Verizon Authorized Retailer

 ...send 119 SMS messages daily to potential business clients. Master Communication Tools: Utilize platforms like Statflo and our customer account systems to manage your outreach and track interactions. Drive Sales Opportunities: Schedule appointments that lead to...