Privacy Program Specialist, Consultant

Blue Shield of CA; Oakland (CA); Hybrid; USD 130,000 - 160,000; Full time

Job summary

Blue Shield of CA's Privacy Office is seeking a Privacy Program Specialist, Consultant to help develop and enforce privacy program aligned with HIPAA/HITECH, CMIA, TCPA, and other laws. Reports to Privacy Office Sr. Manager and works in a regulated environment.

The role requires 7 years of relevant experience, a degree or equivalent, and strong analytical skills; hybrid in-office two days weekly; in-office living within 50 miles.

Qualifications

• Requires a Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree.
• Requires 7 years of prior relevant experience.
• Requires prior experience in healthcare privacy, cybersecurity incident management, investigative services, 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 TCPA, and knowledge of DHCS privacy requirements for Medi-Cal Managed Care Health Plans and CMS Medicare or Medi-Cal.

Skills

Healthcare privacy experience

Investigation skills

Regulatory knowledge

Team collaboration

Problem-solving

Education

Bachelor's degree or equivalent + 4 years experience in lieu of degree

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Access

Job description

Your Role

The Privacy Office is responsible for development, implementation, and oversight of 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 Sr. Manager and plays an essential role in advancing and enforcing Blue Shield's Privacy Program.

Your Knowledge and Experience

Required

• Requires a bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 7 years of prior relevant experience
• Requires prior experience in healthcare privacy, cybersecurity incident management, investigative services, 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
• Requires excellent organizational skills and strong independent judgment, problem-solving, critical and analytical thinking skills, including an exceptional "moral compass" and work ethic
• Requires ability to work collaboratively in a team, perform duties with minimal supervision, multi-task, and to deliver a quality work product in a highly regulated, demanding, and constantly changing corporate environment
• Requires proficiency in Microsoft Word, Access, Excel, PowerPoint, and Outlook

Preferred

• Possesses extensive experience in directly handling investigations
• 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
• CIPP/US Certification or HCCA CHPC Certification
• Experience and knowledge of compliance or privacy incident management software

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.