Virginia Premier Health Plan Corporate Compliance Analyst II in Glen Allen, Virginia

Job Description

Overview

Assist the Sr. Compliance Manager and Program Integrity Department in conducting corporate compliance program activities, preparing training and education materials and serving as a subject matter expert on the Health Insurance Portability and Accountability Act (HIPAA). Advise and collaborate with management on policies and procedures as they relate to corporate compliance expectations.

Responsibilities

  • Plan and manage large-scale initiatives to ensure timely and accurate completion of program objectives

  • Assist in updating, maintaining and ensure adherence to the Program Integrity and Compliance Plan

  • Conduct analysis of regulatory changes to determine impact to corporate stakeholders

  • Track regulatory changes and ensure appropriate information is disseminated accordingly

  • Provides or assists in providing employee training on compliance related topics, policies or procedures

  • Oversee corporate policy management, including collaboration with business owners to ensure appropriate and complete policies and procedures

  • Investigate and analyze issues regarding healthcare policy

  • Assist in the identification, implementation, and maintenance of the organization’s compliance, HIPAA and privacy policies and procedures

  • Assist in the investigation and remediation of any suspected violation of HIPAA requirements

  • Establishes and maintains a mechanism to track access to protected health information

  • Creates, facilitates, and promotes activities to foster information compliance awareness within the organization and related entities

  • Research and assist on Federal and State regulatory requests or potential issues of non-compliance

  • Travels and represents Virginia Premier at Provider Education Meetings and other provider community engagements/activities

  • Participates in the development, implementation, tracking and monitoring of all business associate agreements to ensure that all HIPAA/Privacy concerns, requirements, and responsibilities are addressed

  • Assist in the development and submission of reports/reviews required for state or federal regulatory agencies

  • Initiates, leads or participates in compliance-related or organization-wide research projects and initiatives

  • Works with the organization personnel involved with any aspect of release of protected health information, to ensure full coordination and cooperation under the organization’s policies and procedures and legal requirements

  • Participate in DMAS and other regulatory audits, meetings and initiatives

  • Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance

Qualifications

MINIMUM EDUCATION REQUIREMENTS

  • College degree required, experience replacement acceptable

  • Familiarity with health care legislation and standards for the protection of health information and patient privacy preferred

WORK BACKGROUND/EXPERIENCE

  • Education and experience relative to the size and scope of the organization

  • 1 – 3 years’ experience with Healthcare or HIPAA compliance

  • Demonstrated skills in collaboration, teamwork, and problem solving to achieve goals

  • Demonstrated skills in verbal and written communication

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

About Us

Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs. Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia.

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

Our mission is to inspire healthy living within the communities we serve!

Job Locations US-VA-Glen Allen

Job ID 2017-4302

As an equal opportunity employer, Virginia Premier is committed to a diverse workforce. To ensure non-discrimination and affirmative action for individuals protected by Executive Order 11246, as amended, Section 503 of the Rehabilitation Act of 1973, as amended, the Vietnam Veterans’ Readjustment Act of 1974, as amended, and Title I of the Americans with Disabilities Act of 1990, as amended, Virginia Premier will consider applicants for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Applicants who require accommodation in the job application process may contact Recruitment at 804-819-5151 for assistance. It is the policy of Virginia Premier Health Plan, Inc., to comply with the requirements of the Drug-Free Workplace Act of 1988. It is a violation of our drug-free workplace policy to use, possess, sell, trade, and/or offer for sale alcohol, illegal drugs or intoxicants in our workplace. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Virginia Premier participates in E-verify.