Privacy Investigator, Senior

Medica•Minnetonka, MN

1d•Hybrid

About The Position

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.

Requirements

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
Eligibility to work in the US
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.

Nice To Haves

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

Responsibilities

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.
Works 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.
Ensures 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.
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.
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.