HIPAA Compliance Specialist

Blue Cross of Idaho is seeking a Compliance Specialist to analyze and distribute new and updated regulatory requirements related to HIPAA and protected health information. The role is also involved in advising business areas of their compliance obligations. The specialist will also be involved in helping to resolve HIPAA privacy issues that emerge. The role will start as a general compliance specialist while also performing work related to HIPAA. Over time the role will transition into a full-time HIPAA Compliance Specialist. Designing the position this way will help the employee gain the necessary background in compliance program effectiveness to apply those skills and knowledge to HIPAA specific compliance work.

Experience: 4 years’ health industry, internal audit, legal, compliance, or government programs (12 years of experience if candidate does not have Bachelor’s degree)

Education: Bachelor’s Degree or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)

• Maintains and applies knowledge of regulations and regulatory changes relevant to the industry and the organization – HHS, OCR, SAMSHA, State Privacy Laws, CMS, Department of Labor, Department of Insurance, and others
• Performs Privacy incident investigations
• Makes independent HIPAA Breach determinations using regulatory required criteria
• Facilitates Privacy required notifications
• Creating letters for specific incidents, requests and responds to privacy inquiries
• Performs risk assessments of 3rd party privacy compliance, including supplier, software, and other business partners
• Analysis privacy related trends, suggests remediation and creates communication to report to leadership
• Acts as a subject matter expert for regulatory requirements pertaining to BCI Privacy regulations
• Ensures regulatory standards are applied to organizational policies and procedures by evaluating and communicating regulatory guidance to impacted business areas.
• Responds to compliance and privacy related questions, complaints, and incidences.
• Facilitates or supports organizational compliance training on Privacy and general compliance and other topics required by regulation.
• Works with business relationship owners and vendors to train, educate, mitigate compliance risks, and drive industry best practices.
• Provide support in coordinating third party oversight related to compliance requirements
• Assist in communication and education initiatives delivered by Compliance
• Support and seek ways to improve compliance risk assessments and maturity evaluations throughout the organization
• Coordinate and provide support in resolving third party compliance incidents
• Provide support and expertise in the authoring and updating of Compliance department and corporate policies and procedures
• Analyze relevant data to find opportunities to improve the organization’s compliance program and culture of compliance
• Produce and distribute department and organizational reports related to compliance
• Performs other duties and responsibilities as assigned.

As of the date of this posting, a good faith estimate of the current pay range is $78,064 to $117,095. The position is eligible for an annual incentive bonus (variable depending on company and employee performance).

The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.