Virginia Premier Health Plan Corporate Compliance Analyst II in Glen Allen, Virginia
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.
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
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
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 health sufficient to meet the ergonomic standards and demands of the position.
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.