Compliance Analyst, Privacy

🕒 6 days ago

🇺🇸 United States – Remote

💵 $78k - $82k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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