Job Description

Your Role

The Privacy Office team is responsible for the development, implementation, and oversight of Blue Shield\xe2\x80\x99s Privacy Program. An effective 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 including, but not limited to, the privacy components of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH), and the California Medical Information Act (CMIA).

The Privacy Office is a division of the Corporate Integrity and Risk Management Department within the Blue Shield Law Department. The Privacy Office reports to the Audit Committee of the Board of Directors and senior executive leadership, manages and organizes the Privacy Council; develops and implements privacy related policies and procedures; creates and deploys privacy training and education; encourages open lines of communication with workforce members, providers, vendors, customers, and other third parties; acts as subject matter experts on healthcare data privacy issues and provides proactive privacy related advice; responds to privacy inquiries, complaints, and reports of violations; conducts investigations and supports and/or manages all related necessary sanctions, mitigation, and remediation efforts; provides notifications and reporting required by law; manages privacy related contracting and oversees business associate compliance; and conducts or otherwise assists with evaluating, auditing and monitoring privacy related risks.

The Director, Privacy Office (Director) will report to the Senior Director, Privacy Office & Chief Privacy Officer (CPO). In this role you will support Blue Shield\xe2\x80\x99s Privacy Program and Mandates Control Group. You will be accountable for assisting the CPO, collaborating with and managing the Privacy Team, and providing expert privacy guidance to business units across the Company. You will also perform other privacy related activities in support of the functions described above.

Your Work

In this role, you will:

• Research, identify, review, and summarize new and existing data privacy laws; maintain awareness of industry trends and regulatory actions; and communicate impact of these changes to CPO
• Support Blue Shield\xe2\x80\x99s business continuity and resiliency programs and complex investigations assigned by the CPO
• Compile and analyze Privacy Office data and statistics, items of interest, trends in the field, areas of identified risk, and changes in the law for reports to the CPO, the Audit Committee of the Board of Directors, Operating Committee, Privacy Council, and other Blue Shield leaders
• Assist individuals who contact the Privacy Office with privacy-related questions and provide subject matter expertise as needed for each unique, individual situation
• Act as a liaison with regulatory enforcement agencies; manage proper and timely Privacy Office responses to technical assistance letters, investigations, compliance reviews, audits, and other reviews made by regulatory agencies, including OCR, DMHC, DHCS, LA Care, and CA Attorney General
• Monitor state and federal resources for new laws, regulations and guidance impacting Blue Shield
• Research, review, analyze and provide legal guidance to Blue Shield stakeholders on new laws, regulations and guidance impacting Blue Shield

• Assist in determining scope and impact of new laws, regulations, and guidance on Blue Shield Monitor implementation efforts of new laws, regulations and guidance that fall within the purview of Mandates Control Group

• Apply internal audit and enterprise risk management best practices to determine areas of risk across the enterprise and to verify ongoing compliance for medium to high-risk mandates

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We\'re excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Area\'s top companies in volunteering & giving, and one of the world\'s most ethical companies. Here at Blue Shield of California, we\'re striving to make a positive change across our industry and the communities we live in , Join us!

Blue Shield of California