Compliance Analyst, Privacy

🕒 il y a 27 jours

🇺🇸 États-Unis – Télétravail

💵 $78 000 - $82 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚔 Conformité

🦅 Parrain de Visa H1B

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HealthEdge

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2005

⚕️ Assurance santé

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

HealthEdge est une entreprise spécialisée dans la fourniture de solutions avancées pour les gestionnaires de soins de santé grâce à sa suite HealthRules Solutions. Cette suite comprend un système complet de traitement administratif des réclamations numériques, des solutions de gestion des workflows de soins et des solutions d'intégrité des paiements, visant à améliorer l'efficacité opérationnelle et la qualité des soins pour les régimes de santé. En tirant parti de la technologie intégrée et de l'automatisation, HealthEdge aide les régimes de santé à éliminer les silos de données, à accroître la précision des paiements et à améliorer l'expérience des membres, transformant ainsi le paysage des soins de santé pour une meilleure collaboration et accessibilité.

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

🎯 Exigences

• 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

🏖️ Avantages

• 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