Compliance and Privacy Analyst; Non-coder
Listed on 2026-02-02
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Healthcare
Healthcare Administration, Healthcare Management, Healthcare Compliance
Overview
Using advanced knowledge required for the complex analytical functions of this job, the Analyst conducts compliance and privacy investigations using expertise of investigative procedures, research, and analysis, applies independent judgement and critical decision making to determine regulatory compliance risk to patients and the organization. The Analyst uses the advanced knowledge of the regulatory compliance profession, and research and auditing procedures. Uses professional verbal and written communication skills to document and communicate results and findings of compliance research, analysis and decision- making.
Ensures health system compliance with applicable regulatory, accreditation and requirements.
Researches and collects all data points relevant to the issue being investigated.
Using advanced knowledge of federal, state and local regulations, analyzes the actual and/or potential compliance risk to patients and the organization.
Demonstrates expertise in effectively interviewing witnesses.
Makes a determination of risk based upon discretion, judgement and regulatory analysis.
Comprehensively documents all aspects of the investigation; communicates determination to all stakeholders and involved parties.
Oversees corrective action plans and strategies to mitigate the compliance risk.
Reports and communicates findings to federal agencies as appropriate.
Partners with CISO and HIT Information Security team on HIPAA related matters
Provides effective coordination of departmental projects/operations.
Project goals are established in collaboration with leadership and are aligned with the goals and objectives of the department.
Project plans are developed and implemented to meet goals.
Project progress is monitored and adjustments are made to meet deadlines.
Internal and external resources are utilized in an efficient and cost-effective manner.
Responsibility is assumed as the primary point-of-contact for projects.
Works with internal and external partners to ensure an integrated process.
All relevant issues, stakeholders and broad systematic implications are considered when making decisions.
Questions and issues are directed to appropriate resources.
Follow-through is maintained on committed actions in a timely manner.
Problem-solving and creative thinking processes that lead to the development and implementation of new approaches and methods are facilitated at every opportunity.
An environment of continuous improvement, best practices and quality outcomes is fostered.
Competing demands, shifting priorities and organizational constraints are adapted to appropriately.
Specific information needed for clarification or action is identified to reach desired outcomes.
Knowledge of regulatory, accreditation and health system requirements is demonstrated through correct application to projects.
Project activities are monitored continuously to ensure compliance.
Reports are prepared that are comprehensive, accurate and timely.
Responses to regulatory agencies are prepared in a timely manner for review by leadership.
Recommendations for Medical Center and health system policy and procedure changes are formulated based on regulatory changes.
On-site surveys and audits of project activities and documentation are conducted per project plan and needs.
Relationships with people whose assistance, cooperation, and support may be needed are built recognizing their concerns and perspectives.
A network of contacts, within and outside the health system is developed, maintained and accessed appropriately.
Participation in internal and external committees and work groups is conducted in a professional manner.
Positive, professional demeanor is projected through verbal and non-verbal communications.
Information for patients and staff is delivered in a manner that is supportive, timely and understandable.
Interpersonal conflicts are resolved using appropriate methods and organizational resources.
Diverse perspectives are acknowledged; language and behaviors are modeled that build inclusiveness in the work environment.
Ideas and suggestions are clearly communicated.
Clarification of communication is requested when appropriate.
Privacy is maintained at all times for patient and employee information.
Actions are initiated to meet or exceed customer/co-workers expectations in delivering service by implementing the I Make the Difference philosophy.
Appropriate resources throughout the Organization are used consistently to meet customer needs.
Relationships with staff in other work areas are fostered to meet internal and external customer needs.
Positive working relationships with peers,…
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