Compliance Specialist – Health Information Exchange, HIE

Job not on LinkedIn

November 23

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $110k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🚔 Compliance

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Jorie AI

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Artificial Intelligence • Healthcare Insurance • Fintech

Jorie AI is a company that revolutionizes the healthcare and finance industries by providing advanced AI-driven solutions. Specializing in revenue cycle management (RCM), Jorie AI leverages robotic process automation and powerful business intelligence tools to streamline financial and healthcare operations, increase profitability, and enhance reporting. Their services include maximizing operational output, managing resources, and structuring seamless flows of critical patient and financial data. Jorie AI focuses on delivering custom automation solutions tailored to clients' objectives to improve patient outcomes, physician satisfaction, and financial margins. The company is known for its innovative use of AI in healthcare claim management and revenue cycle consulting, significantly reducing operational inefficiencies and improving financial performance.

1001 - 5000 employees

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

💳 Fintech

📋 Description

• Serve as the subject matter expert for HIE compliance and interoperability standards within Jorie AI. • Support compliance of data exchange activities, consent management, and data use agreements across all HIE and payer interfaces. • Support design and implementation of secure data workflows for clinical and claims data exchange between Jorie, providers, and partners. • Collaborate with engineering and product teams to integrate privacy-by-design principles into AI and automation systems that process PHI/PII. • Ensure compliance with HIPAA, HITECH, 42 CFR Part 2, and applicable state privacy regulations for all data exchange activities. • Contribute to ongoing compliance initiatives by maintaining control documentation, evidence collection, and process validation related to interoperability systems. • Support risk assessments for new integrations or APIs involving HIE data exchange and recommend appropriate mitigation measures. • Conduct regular audits of HIE transactions, data integrity, and access controls in collaboration with IT Security. • Track and report compliance metrics and incident trends to leadership and external assessors (e.g., ISP). • Participate in security event response, breach assessment, and root cause analysis when incidents involve HIE data or patient information. • Develop training programs to educate teams on HIE-specific compliance requirements, data governance, and privacy obligations. • Work closely with internal stakeholders (Compliance, IT, Engineering, Client Services) to maintain a unified understanding of regulatory expectations. • Serve as a liaison with external partners, auditors, and health data networks to ensure alignment with interoperability standards and exchange agreements.

🎯 Requirements

• Bachelor’s degree in Health Information Management, Compliance, Healthcare Administration, or Information Security required. • 3–5 years of experience in healthcare compliance, privacy, or information security. • 2+ years of direct experience with Health Information Exchanges (HIE), data interoperability, or health data governance. • Experience working within organizations adhering to frameworks strongly preferred. • Background in healthcare technology, AI, or revenue cycle management is highly desirable. • Strong understanding of FHIR, HL7, TEFCA, and interoperability standards. • Expert knowledge of HIPAA Privacy and Security Rules, HITECH, and healthcare data sharing practices. • Ability to translate regulatory requirements into actionable operational processes and technology controls. • Exceptional analytical, problem-solving, and communication skills. • Proficiency with compliance management, audit, and risk tracking tools. • Preferred Certifications CHC (Certified in Healthcare Compliance) or CHPC (Certified in Healthcare Privacy Compliance) • CISA or CRISC • RHIA/ RHIT (Registered Health Information Administrator/ Technician)