Privacy Program Specialist, Senior

Your Role

The Privacy Office team 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, Senior Analyst reports to the Privacy Office Sr. Manager or Director and plays an essential role in advancing and enforcing Blue Shield’s Privacy Program.

Your Work

In this role, you will:

Provide administrative and tactical support for the Privacy Office by assisting with privacy investigations and breaches, timely and accurately log all incoming privacy-related work, using appropriate internal documentation methods, and assign work to the Privacy Office Team

Support and assist the Privacy Office to define and achieve Privacy Program annual strategic goals, maturation, and ongoing tactical implementation of the corporate Privacy Program

Assist individuals who contact the Privacy Office with privacy-related questions or concerns, internal inquiries, project proposals. Coordinate with internal clients as appropriate

Draft investigation-related documentation, such as initial and subsequently updated regulatory notifications, contractual notifications, breach notification letters to impacted individuals and others requiring notification of privacy incidents

Acknowledge complaints submitted by regulatory agencies, including the Office for Civil Rights, and act as a liaison with regulatory enforcement agencies and the Office for Civil Rights investigators

Organize case-related data received from internal and external parties, including making requests internally for additional data support in order to compile complete and accurate impacted member data/spreadsheets

Respond to Blue Shield workforce member inquiries about Blue Shield privacy policies, procedures, and privacy-related compliance matters

Your Knowledge and Experience

Bachelor’s Degree or equivalent experience and

Requires a minimum of 5 years of prior relevant experience

Prior experience in healthcare, legal services, privacy, audit, investigative services, systems or operations support, corporate training, or another related field

Requires excellent organizational skills

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

Project management or similar experience preferred

Knowledge of state and federal privacy laws, including HIPAA/HITECH, CMIA, and privacy related consumer protections laws, such as the Telephone Consumer Protection Act (TCPA)

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

Experience and knowledge of compliance or privacy incident management software

Professional