Compliance Analyst (HIPAA/Privacy)
Molina Healthcare
**JOB DESCRIPTION**
**Job Summary**
Molina Healthcare's HIPAA Compliance team supports privacy compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting HIPAA compliance activities at individual state health plans.
**KNOWLEDGE/SKILLS/ABILITIES**
The Compliance Analyst-HIPAA position is primarily responsibility for supporting the day to day operations and initiatives of the HIPAA Department.
+ Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
+ Performs Plan Required Reporting.
+ Interpret and analyzes HIPAA, state privacy laws, and Medicare, Medicaid and MMP contractually Required Reporting Technical Specifications.
+ Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
+ Support the management of the regulatory memo distribution process Ability to work independently and set priorities.
+ Manages compliance incidents management and related processes, including associated corrective action plans.
+ Provides technical expertise to Molina interdepartmental regulatory & legislative interpretation inquiries.
+ Responds to legislative and member inquiries/complaints (members, state insurance regulators, Congressional, etc.).
+ Assists with the regulatory memo distribution process.
+ Reviews, revises and manages Molina Privacy policies and procedures
+ Review and responds to member requests to access PHI and other HIPAA individual right.
+ Supports internal and external audit and readiness reviews.
+ Maintains business associate agreeements.
+ Coordinates site visits for federal & state regulators.
+ Leads large, complex projects to achieve compliance objectives.
+ Interprets and analyzes state and federal regulatory manuals and revisions.
+ Interprets and analyzes federal and state rules and requirements for proposed & final rules.
+ Coordinates comments relating to federal notices of proposed rulemaking.
+ Ability to work independently and set priorities.
**JOB QUALIFICATIONS**
**Required Education**
BA/BS/BC degree Healthcare Administration, Business Administration or Information Technology or minimum equivalent employment experience of 4+ years, Health Care, Privacy/Security or related field required
**Required Experience**
4 years’ experience in health care industry in related field desired
**Preferred Education**
BA/BS/BC Healthcare Administration or Business Administration
**Preferred Experience**
4 years’ experience in health care or financial services industry in related field desired
**Preferred License, Certification, Association**
CIPP/US or Certified in Healthcare Compliance
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $52,199 - $101,788 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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