Compliance Analyst

#REF!Arlington, TX
Hybrid

About The Position

Compliance Analyst Bring your passion to Texas Health so we are Better + Together. Gain a sense of accomplishment by contributing to a teamwork environment. Receive excellent mentorship, comprehensive training, and dedicated leadership resources.

Requirements

  • Bachelor's Degree
  • 3 Years Experience in privacy regulations such as HIPAA, Texas state privacy laws, and/or other federal information privacy laws.
  • Prior experience in auditing/monitoring access to information in clinical applications.
  • CHPC - Certified in Healthcare Privacy Compliance 12 Months Req Or CHC - Certified in Healthcare Compliance 12 Months Req Or Other CHPS - Certified in Healthcare Privacy & Security 12 Months Req
  • Knowledge of HIPAA Privacy and Breach Notification Rules, including breach risk assessment methodologies.
  • Ability to interpret and apply federal and state privacy regulations to operational workflows and compliance strategies.
  • Strong analytical skills for proactive access monitoring, incident investigation, and risk identification.
  • Ability to manage multiple privacy-related projects and contribute to program development and continuous improvement efforts.
  • Proficiency in preparing reports, summaries, and metrics for leadership and regulatory bodies.
  • Demonstrated professionalism in handling sensitive information and providing consumer service to internal and external parties.
  • Strong interpersonal, problem solving, decision making, multi-tasking, written, verbal and presentation skills; analyzing and understanding technical material; technical computer software proficiency.

Nice To Haves

  • Master's Degree Healthcare or other related field

Responsibilities

  • Conduct access audits related to electronic medical records (EMRs) and other ancillary PHI systems.
  • Identify questionable EMR access patterns through analysis of proactive auditing reports.
  • Investigate and document privacy-related matters, escalating complex or high-risk matters to the Privacy Manager for joint oversight, ensuring thorough analysis, documentation, and resolution in accordance with regulatory and organizational standards.
  • Conduct intake and initial assessment of privacy incidents, evaluate breach potential through structured risk assessments, and support breach response activities, including documentation, mitigation, and patient and regulatory notification when required.
  • Conduct on-site walkthroughs and audits at various entities to assess compliance with HIPAA privacy standards and organizational policies.
  • Collect, analyze, and synthesize privacy-related data and metrics to develop reports for department use, leadership, and committees.
  • Assist in the identification of additional reports needed from the EHR system (CareConnect) to detect breaches and support the development of focused audits.
  • Respond to questions from employees, patients, and consumers related to HIPAA, privacy policies, breach reporting, restrictions, confidential data transfers of PHI and PII, amendment requests, etc.
  • Develop privacy related communications and create, deliver, and track privacy training programs.
  • Develop, review and update privacy policies, procedures, guidance documents, and standard operating procedures to ensure alignment with HIPAA and other applicable privacy regulations.
  • Assist with implementation of procedures to ensure compliance with Privacy-related policies.
  • Work collaboratively with IT Security, Legal, Human Resources, and other internal stakeholders to address privacy-related concerns, inquiries, and investigations.
  • Participate in privacy-related projects and work plans items.
  • Support and assist the Privacy Program Manager and System Privacy Officer, as needed, in developing and implementing privacy program initiatives and responding to potential privacy incidents.
  • Remain current with federal and state privacy laws and regulations; support compliance monitoring efforts and recommend program enhancements based on regulatory changes.
  • Perform other duties as assigned.
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