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Requires hands-on counseling experience on a broad range of employment and labor law issues, including hiring, employee relations, investigations, discipline and terminations, medical and family leaves of absence, disability and religious accommodations, and wage and hour compliance.
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Under the direction of the Chief Compliance & Privacy Office (CCO/CPO), this position leads the implementation and operations of the Health Plan's Compliance Program, including the HIPAA/Privacy and Anti-Fraud programs, in accordance with the Department of Managed Health Care (DMHC) and Department of Health Care Service (DHCS) laws and regulations.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Investigate information leaving the organization with appropriate leadership (i.e. Manager, ECO, HR, Legal) Coordinate with HR Director, Facility Privacy Official and Ethics & Compliance Officer to ensure that sanctions related to IPS issues are applied appropriately and consistently.
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We are hiring a Senior Security Compliance Analyst who will be responsible for all compliance investigations with a focus on anomalies in medical records access while also ensuring that internal systems are compliant with HIPAA security and privacy standards.
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Partners and collaborates with the Legal and Compliance teams on complex EEOC complaints , Subpoenas, and Employee Relation Investigations, Hotline Compliance complaints, HIPAA and Patient Privacy Violations.
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With support from Legal department, lead internal investigations related to the compliance program and if required, implementation of applicable corrective and preventative measures and reporting to relevant government agencies.
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Provides subject matter expertise to Business Unit Ethics and Compliance Officers for privacy investigations, coordinating with the Privacy and Security Officer, the Assistant Security Officer, Divisional Privacy and Security Officers, Business Unit Ethics and Compliance Officers, and legal counsel as appropriate.
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The incumbent will also monitor the Compliance Helpline and participate in the investigations process, compliance and information privacy education and assist with other special projects as needed.
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Serve as the organization’s HIPAA Privacy Officer Designing and implementing a comprehensive online privacy policy that aligns with industry best practices and regulatory requirements, ensuring transparent communication of how patient and visitor data is collected, used, and protected on our website.
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The candidate will work closely with the Benefits & Compensation Group within the Human Resources Department and:Counsel on plan design and drafting, tax and other compliance issues, fiduciary and investment issues, and HIPAA privacy compliance.
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Responsibilities:Responds to inquiries and conducts investigations surrounding HIPAA/privacy regulations. Strong understanding of cybersecurity/IT in relation to HIPAA/privacy highly preferred.
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Position Summary: Under the direction of the Director of Corporate Privacy/Privacy Officer, the Privacy Analyst supports Virtua Health’s privacy program, including system-wide compliance with the Health Insurance Portability and Accountability Act’s (HIPAA) Privacy Rule and other privacy-related state and federal regulations.
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The Manager will support the Sr. Director of Corporate Compliance to ensure implementation of appropriate policies and procedures, support compliance training, conduct investigations and maintain a system of reporting and ensure the integrity of all compliance investigations, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance.
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Collaborating effectively with Information Security and Technology to ensure alignment between information security and privacy and data protection compliance programs including policies, practices, investigations, and acting as the compliance liaison to the UMMS Information Security and Technology Department.
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Anti-kickback statute; False Claims Act; HIPAA and Privacy issues; FDA and Regulatory law regarding Medical Devices/Pharmaceuticals; Clinical trials; Reimbursement issues; Medical Device/Pharmaceutical Marketing & Promotional issues; Discount Safe Harbor and other laws applicable to Medical Device sales; Medical device/Pharmaceutical Compliance issues; billing requirements of a Medicare healthcare provider; Government Investigations.
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