Privacy Investigator I

What You Can You Expect?

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

As the Privacy Investigator I, play a crucial role under the Special investigation Iunit Manager. Conduct dynamic investigation, ensuring compliance with HIPAA, HITECH, and other regulations. From addressing privacy incidents to contributing to program goals, you’ll be at the forefront. Armed with knowledge, you will identify any risks, issue corrective action plans, and contribute to special projects. In addition to, collaboration with inter-departments to ensure member needs are met while simultaneously building strong peer relationships.

Key Responsibilities:

1. Participate in the day-to-day operations of the Privacy Program to meet Plan, department, and unit objectives.
2. Investigate routine privacy incidents in accordance with established procedures, efficiently and effectively, and ensure the quality and accuracy of the work product, including research, evidence gathering, interviewing, reviewing documents and analysis of whether a privacy allegation is substantiated and requires regulatory reporting. Coordinate with Privacy Investigators II and III to ensure appropriate action is taken to resolve the case prior to closure.
3. Assist with addressing the Privacy Program’s short and long-term goals, as developed by Management, to identify risk and ensure compliance with federal and state privacy laws.
4. Comprehend the Privacy Program’s policies and procedures, guidelines, practices, templates, and tools and use the tools to conduct investigative work.
5. Identify potential risks, non-compliance and/or alleged violations within the Plan or with external partners and issue root cause analysis/corrective action plans, as appropriate, including working with Human Resources and management to ensure consistent application of disciplinary action standards for privacy violations.
6. Assist with creating reports and analyzing data for reporting to management, the Compliance Committee, and the Governing Board.
7. Contribute to special projects related to the development of the Privacy Program (i.e.., coordinate with IT Security regarding privacy issues related to electronic media or systems). Attend and assist with meetings as it relates to privacy matters.
8. Maintain current knowledge of relevant State and Federal privacy laws and regulations.
9. Assist with responding to internal and external inquiries and provide guidance, related to privacy issues.
10. Assist with audit preparation, as needed.
11. Mentor and provide support to the Compliance Specialists.
12. Create and update desktop procedures specific to workflows and processes relevant to the Privacy Program.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks!

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary.
• Hybrid schedule.
• CalPERS retirement.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match 
• Paid life insurance for employees
• Pet care insurance

Education & Requirements

• Bachelor's degree from an accredited institution required.
• In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position.
• This experience is in addition to the minimum years listed in the Experience Requirements above.
• Two (2) or more years of relevant experience in a healthcare environment. 

Key Qualifications

• Interpersonal and presentation skills to communicate with internal departments and external agencies. Effective communication skills; verbal and written.
• Strong organizational skills and attention to detail.
• Good computer skills and proficiency in Microsoft Office programs including, but not limited to: Word; Excel; PowerPoint; Outlook; and Access.

Start your journey towards a thriving future with IEHP and apply!