Privacy Investigator, Senior

Medica; Hopkins (MN); On-site; USD 70,000 - 120,000; Full time

Job summary

Medica, a nonprofit health plan serving Minnesota and beyond, seeks a Privacy Investigation Analyst to lead privacy program activities, investigations, and regulatory reporting. You will work with Corporate Compliance and Legal to uphold HIPAA and privacy rules.

The role is onsite at our Minnetonka, MN office, typically 3 days per week, with collaboration across compliance, IT, and business units. Requirements include a Bachelor's degree and 5+ years of experience in privacy/compliance.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience beyond degree.
• Knowledge of Managed Care and/or Health Insurance Marketplace.
• Knowledge of HIPAA and related privacy laws.

Responsibilities

• Ensure privacy program effectiveness by developing and updating policies, documentation, investigations, and responses per privacy laws.
• Act as privacy liaison between Medica and business associates or customers to meet breach reporting timelines.
• Assist measurement of compliance program effectiveness by auditing functions and assembling data.
• Support privacy training for Medica employees, external vendors, and providers.
• Perform additional privacy duties as assigned.

Skills

Verbal communication

Written communication

Organizational skills

Problem solving

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

HIPAA knowledge

Managed Care knowledge

Education

Bachelor's degree or equivalent experience

Tools

HealthRules/ISET

Job description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Manages Medica's response to suspected privacy incidents to include investigation, mitigation, corrective and disciplinary actions, documentation, and regulatory reporting. Ensures that Medica's response complies with all aspects of state and federal privacy regulations, including breach notification and reporting timelines. Performs other duties as assigned.

The Privacy Investigation Analyst will be responsible for working with the corporate compliance department staff to provide support to maintain an effective compliance program across Medica that is consistent with Office of Inspector General (OIG) Guidance for an effective compliance program. This position reports to the Corporate Compliance Privacy Manager and works closely with the Director and VP of Corporate Compliance and Privacy, legal department, and business unit compliance leads.

Key Accountabilities

• Ensure the effectiveness of Medica's Privacy program by conducting, maintaining and supporting appropriate policies and procedures, documentation, investigation, and response as required by state and federal privacy rules.
• Serve as a privacy liaison between Medica and its business associates or customers. This position ensures Medica complies with Health and Human Services (HHS) breach reporting timelines and requirements.
• Support the Corporate Compliance Privacy Manager and Senior Analysts to measure the effectiveness of Medica's compliance program and regulatory implementation activities by auditing various supporting functions. The Privacy Investigation Analyst will be responsible for assembling data to validate Medica's obligations and other performing auditing procedures as necessary.
• Assist with implementation of Medica's Compliance training program to ensure all Medica employees, external vendors and providers are educated regarding Compliance
• Additional privacy duties as assigned.

Required Qualifications

• Bachelor's degree or equivalent experience in related field
• 5+ years of work experience beyond degree
• Knowledge of Managed Care and/or Health Insurance Marketplace
• Knowledge of HIPAA and related privacy laws

Preferred Qualifications

• Project management experience desired
• Medica systems experience preferred (ex. HealthRules/ISET)
• Excellent verbal and written communication skills
• Organizational skills
• Problem solving abilities
• Proficiency in Word, Excel and PowerPoint

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.

The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.