Compliance Analyst, Privacy

🕒 Maio 28

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $78.000 - $82.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚔 Conformidade

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HealthEdge

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2005

⚕️ Seguro de Saúde

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

HealthEdge é uma empresa especializada em oferecer soluções avançadas para operadoras de saúde por meio do seu HealthRules Solutions Suite. Esse conjunto inclui um sistema digital abrangente de administração e processamento de sinistros, soluções de fluxos de trabalho (workflows) para gestão do cuidado e soluções de integridade de pagamentos, com o objetivo de ampliar a eficiência operacional e melhorar a qualidade do cuidado para os planos de saúde. Ao alavancar tecnologia integrada e automação, a HealthEdge ajuda os planos a eliminar silos de dados, aumentar a precisão dos pagamentos e elevar a experiência dos beneficiários, transformando o ecossistema de saúde para maior colaboração e acessibilidade.

Descrição

• Serve as a privacy subject matter expert, providing guidance on federal and state healthcare privacy regulations to internal stakeholders and external clients • Analyze privacy incidents and breaches; prepare reports and root‑cause analyses, including recommendations for corrective and preventive actions • Maintain privacy incident tracking logs and follow up on corrective action plans to ensure timely and effective resolution • Support the implementation and ongoing enhancement of processes and procedures to mitigate identified and potential privacy risks • Partner with customer health plans across multiple lines of business, including Commercial, Medicare Advantage, and Medicaid • Conduct internal privacy monitoring activities and audits to assess compliance with policies, procedures, and regulatory requirements • Track audit findings, validate corrective actions, and support coordination of internal and external remediation efforts • Assist with maintaining and executing privacy compliance controls, including monitoring activities and validation of departmental audits • Respond to internal inquiries related to regulatory interpretation and application of federal and state healthcare privacy requirements • Collaborate with internal departments and external vendors to promote consistent privacy practices, proactive risk identification, and an organization‑wide culture of compliance • Support the development, maintenance, and execution of privacy compliance tools and processes, including incident management workflows, reporting mechanisms, and training support • Contribute to compliance reporting and documentation used for leadership, clients, auditors, and regulators

🎯 Requisitos

• Bachelor’s degree required • Minimum of two years of healthcare privacy or health plan compliance experience • Advanced proficiency in Microsoft Word, PowerPoint, and Excel • Prior experience interpreting and applying regulatory and/or contractual compliance requirements • Professional certification in healthcare compliance (e.g., CHC, CCEP, or privacy‑focused certifications such as CHPC), or completion of a graduate certificate program in healthcare compliance • Working knowledge of HIPAA, state privacy laws, and other applicable federal and state healthcare privacy standards

🏖️ Benefícios

• HealthEdge is committed to workforce diversity • Active encouragement for all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990 • Candidates may be required to go through a pre-employment criminal background check