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Senior Advisor | HIPAA Privacy Manager

The HIPAA Privacy Manager will report to the AVP, Claims Risk & Compliance and is responsible for overseeing and ensuring compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations, and related federal/state privacy statutes within the Claims division.

This role is preferrably based in our Jersey City, NJ global headquarters which has a flexible hybrid work model.

There is a chance the role can be offered remote, depending on selected candidate's location within the U.S.

Essential Duties and Responsibilities of the Position


* Manage the Claims division's compliance with HIPAA regulations and other regulations governing the handling of protected health information.


* Develop, implement, and maintain the division's HIPAA policies and procedures.


* Research and stay updated on HIPAA regulations and related federal/state statutes, regulations, and standards


* Prepare and conduct regular risk assessments to identify vulnerabilities and present findings to Privacy Officer.


* Review business associate agreements and maintain business associate agreement inventory.


* Participate in meetings and respond to inquiries to advise employees on HIPAA regulations and appropriate application to specific operations.


* Initiate, facilitate, and promote activities to foster a culture of privacy compliance within the Claims division.


* Develop and provide training and education to employees on HIPAA compliance and data privacy best practices.


* Collaborate with IT and Security teams to ensure PHI is protected across systems.


* Establish, implement, and improve Claims Risk & Compliance team processes and procedures, as well as optimizing and automating such processes and procedures to maximize efficiency, as directed.


* Work closely with other staff within the Claims Risk & Compliance team, as well as throughout the division, to participate in process improvements.


* Ability to navigate challenging legal and corporate environments and anticipate legal concerns.

Required Qualifications and Experience


* Bachelor's degree, preferably in healthcare administration, law, or a related field.


* A minimum of 10 years of experience in healthcare compliance, or combination of experience in healthcare law and other compliance, with demonstrated experience implementing HIPAA compliance programs and procedures.


* Deep understanding of HIPAA Privacy Rule, HIPAA Security Rule, and related state privacy statutes and regulations.


* Excellent organization and communication skills.


* Keen attention to detail.


* Curious and enthusiastic.


* Driven to optimize processes and create efficiencies without sacrificing quality.


* Possesses a high degree of integrity.

Preferred Qualifications, Experience, Skills


* Advanced degree (e.g., JD, MBA).


* Relevant certifications, such as Certified Healthcare Information Security Leader (CHISL), Certified in Heal...




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