At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
JOB SUMMARY:
This position is responsible for investigating all privacy inadvertent disclosures, privacy breaches across the organization and on time in compliance with applicable policies and procedures and relevant regulations. Coordinates with Talent and managers/supervisors to ensure compliance with Privacy Corrective Action policy. Additionally, ensures that the company remains compliant with potential reporting obligations under federal, state, rules and regulations, in all locations that the company operates, as it relates to privacy. Prepares all documentation on privacy breaches across the organization and provides quarterly reporting in preparation for leadership. This position will act as Business Analyst (BA), as well as Project Manager (PM) on regulatory matters. As a Business Analyst, this position will require the application of best practices to facilitate the elicitation, organization and documentation of business requirements related to regulatory filings, working with members of assigned company business units. For purposes of Project Management, this position will be responsible for planning, organizing, and coordinating efforts between a number of operational areas within the organization, as well as with the regulatory compliance departments of Claritev’s clients, when applicable.
JOB ROLES AND RESPONSIBILITIES:
Under the supervision and direction of the Chief Privacy Officer:
- Actively investigates all privacy matters across the organization.
- Provides guidance, advice, and education for business leads and employees regarding privacy issues in compliance with federal and state privacy laws including HIPAA and applicable global privacy laws.
- Monitors, addresses, and responds to both internal and external reported privacy violations and inadvertent disclosures received via email, phone, and other methods
- Advises business leads on corrective action regarding privacy violations, inadvertent disclosures, ensures completion of appropriate documentation, and written correspondence is completed and maintained.
- Collaborates with Talent concerning corrective action regarding privacy violations.
- Compiles documentation, data entry, and analysis of privacy matters ongoing and prepares quarterly reporting and preparation of data for leadership.
- Maintains primary responsibility for initiating, planning, executing, controlling and closing all regulatory compliance filing activities, including development of project plan and timetable with identified roles and responsibilities for each task.
- Identifies, calculates, mitigates, and monitors risk, creating contingency plans and advising management, as appropriate.
- Develops work plan for each regulatory filing and prepare executive summary for management review.
- Actively solicits, analyzes, and documents regulatory filing requirements in order to ensure that the project team can develop solutions that meet the regulatory filing needs, and establish and maintain agreement between assigned Claritev business units and project teams on the deliverables required to meet the regulatory filing requirements. Tracks and resolves issues by proposing viable solutions.
- Manages multiple priorities, customer expectations, and relationships with all stakeholders. Manages relationships with customers, project managers, and any/all levels of management.
- Collaborates, coordinates, and communicates across disciplines and departments.
- Ensures compliance with state and federal laws relating to securities, healthcare, data privacy and security (including HIPAA), and government programs.
- Demonstrates commitment to the Company’s core values.
- Please note due to the exposure of PHI sensitive data – this role is considered to be a High Risk Role.
- The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
This individual works under supervision and with a moderate amount of discretion to make decisions that affect the day-to-day operations within the Company. The successful candidate must be able to work with minimal supervision. The incumbent follows established procedures and uses knowledge of the Company’s general business principles, to complete job responsibilities. Work requires basing decisions on sound logic and rationale; advancing problems or issues toward resolution when encountering ambiguity or uncertainty; choosing the best alternative based on consideration of pros, cons, tradeoffs, timing and available resources; making timely suggestions for decisions on problems and issues requiring immediate attention.
SALARY:
The salary range for this position is $75k-$95k. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity
Qualifications
JOB REQUIREMENTS (Education, Experience, and Training):
- Minimum Bachelor’s degree, paralegal preferred.
- Knowledge of Healthcare industry with background in privacy preferred
- Minimum two (2) years’ experience as a BA and/or PM; BA and health care industry experience preferred
- Knowledge and experience designing and implementing best practices project management methodologies and requirements definition and management practices
- International Institute of Business Analysis (IIBA)/Certified Business Analysis Professional (CBAP) preferred
- Required licensures, professional certifications, and/or Board certifications as applicable
- Expert-level business and system analysis
- Excellent verbal and written communication skills
- Analytic, organization, interpersonal, prioritization, multi-tasking, initiating, communication, planning and technical skills
- Knowledge and ability in proficient in use of Excel, PowerPoint, platforms for privacy and compliance.
- Ability to take initiative and suggest solutions to problems
- Ability to use software and peripherals related to performance of job responsibilities
- Ability to facilitate teams and client relationships to satisfy needs and identify improvements
- Ability to develop strong relationships with all levels of management
- Ability to demonstrate commitment to excellent customer service and follow through
- Ability to manage multiple simultaneous projects including continuous evaluation and re-ordering of priorities for self and staff as business needs dictate
- Ability to effectively present information and respond to questions from internal and external customers
- Ability to be flexible and creative in problem solving and identifying process improvements
- Ability to anticipate business needs and think with a business owner mind-set
- Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone
BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
* Medical (PPO & HDHP), dental and vision coverage
* Pre-tax Savings Account (FSA & HSA)
* Life & Disability Insurance
* Paid Parental Leave
* 401(k) company match
* Employee Stock Purchase Plan
* Generous Paid Time Off -- accrued based on years of service
o WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
* 10 paid company holidays
* Tuition reimbursement
* Employee Assistance Program
* Sick time benefits -- for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here
APPLICATION DEADLINE
We will generally accept applications for at least 5 business days from the posting date or as long as the job remains posted
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