Blue Shield Of California
Privacy Program Specialist, Consultant
Blue Shield Of California, Oakland, California, United States, 94616
Job Description
Your Role
The Privacy Office develops and oversees 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, Consultant reports to the Privacy Office Manager or Director and plays an essential role in advancing and enforcing Blue Shield's Privacy Program.
Responsibilities
Your Work
In this role, you will: Be responsible for the oversight of Blue Shield's compliance with state and federal privacy laws, including HIPAA and HITECH Auditing and monitoring compliance with the Privacy Program, developing and implementing corrective action plans (CAPs) on behalf of the Privacy Office, advising on CAPs issued by other business units with privacy-related components, conducting Privacy Impact Assessments and Data Protection Impact Assessments Develop and assist with the implementation of workforce privacy trainings, privacy policies, desk level procedures, resource guides, job aides, and other educational tools Assist, evaluate, and determine appropriateness of ad hoc requests from internal clients to disclose protected health information (PHI) to third parties and/or to allow third parties access to, or use of, Blue Shield PHI Respond to privacy complaints and incidents reported to the Privacy Office, lead assigned privacy investigations, timely and accurately document case files, direct investigations into root cause analysis, address mitigation, and work with impacted business units to develop and complete corrective action for remediation and to minimize risk of recurrence Consult with internal clients, as a subject matter expert, to provide privacy guidance about proposed projects and initiatives Respond to third-party privacy-related requests Negotiate Business Associate Agreements Act as a liaison with regulatory enforcement agencies to address technical assistance letters, investigation compliance reviews, audits, and other related reviews Perform other duties as assigned Qualifications
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience Requires at least 7 years of prior relevant experience Requires prior experience in healthcare, legal services, privacy, audit, investigative services, systems or operations support, corporate training, or another related field Requires a solid understanding of state and federal privacy laws, including HIPAA/HITECH, CMIA, and privacy-related consumer protections laws, such as the Telephone Consumer Protection Act (TCPA), as well as 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 Preferred: Privacy healthcare-related experience that includes a familiarity with Privacy Impact Assessments and Data Protection Impact Assessments; auditing and monitoring; investigating, managing, and reporting privacy incidents; health information management Preferred: CIPP/US Certification or HCCA CHPC Certification Pay Range:
The pay range for this role is $109,120.00 to $163,680.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-LC1
About the Team
Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
Honest . We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes. Courageous . We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model:
At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
Hybrid (Default):
Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions: Member-facing and approved out-of-state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
On-Site:
Work from a business unit-approved
office
an average of four (4) or more days a week.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
Your Role
The Privacy Office develops and oversees 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, Consultant reports to the Privacy Office Manager or Director and plays an essential role in advancing and enforcing Blue Shield's Privacy Program.
Responsibilities
Your Work
In this role, you will: Be responsible for the oversight of Blue Shield's compliance with state and federal privacy laws, including HIPAA and HITECH Auditing and monitoring compliance with the Privacy Program, developing and implementing corrective action plans (CAPs) on behalf of the Privacy Office, advising on CAPs issued by other business units with privacy-related components, conducting Privacy Impact Assessments and Data Protection Impact Assessments Develop and assist with the implementation of workforce privacy trainings, privacy policies, desk level procedures, resource guides, job aides, and other educational tools Assist, evaluate, and determine appropriateness of ad hoc requests from internal clients to disclose protected health information (PHI) to third parties and/or to allow third parties access to, or use of, Blue Shield PHI Respond to privacy complaints and incidents reported to the Privacy Office, lead assigned privacy investigations, timely and accurately document case files, direct investigations into root cause analysis, address mitigation, and work with impacted business units to develop and complete corrective action for remediation and to minimize risk of recurrence Consult with internal clients, as a subject matter expert, to provide privacy guidance about proposed projects and initiatives Respond to third-party privacy-related requests Negotiate Business Associate Agreements Act as a liaison with regulatory enforcement agencies to address technical assistance letters, investigation compliance reviews, audits, and other related reviews Perform other duties as assigned Qualifications
Your Knowledge and Experience
Requires a bachelor's degree or equivalent experience Requires at least 7 years of prior relevant experience Requires prior experience in healthcare, legal services, privacy, audit, investigative services, systems or operations support, corporate training, or another related field Requires a solid understanding of state and federal privacy laws, including HIPAA/HITECH, CMIA, and privacy-related consumer protections laws, such as the Telephone Consumer Protection Act (TCPA), as well as 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 Preferred: Privacy healthcare-related experience that includes a familiarity with Privacy Impact Assessments and Data Protection Impact Assessments; auditing and monitoring; investigating, managing, and reporting privacy incidents; health information management Preferred: CIPP/US Certification or HCCA CHPC Certification Pay Range:
The pay range for this role is $109,120.00 to $163,680.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-LC1
About the Team
Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
Honest . We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human . We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes. Courageous . We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model:
At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
Hybrid (Default):
Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions: Member-facing and approved out-of-state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
On-Site:
Work from a business unit-approved
office
an average of four (4) or more days a week.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.