Medi-Cal Privacy Officer - REMOTE

Overview

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Medi-Cal Privacy Officer - REMOTE in California

• Collaborate with Privacy leadership and internal business partners and assigned business areas to ensure Prime possesses the appropriate privacy materials; facilitate ongoing maintenance of these materials to ensure alignment to current practice, industry trends and regulatory changes
• Administer policies and procedures, facilitate Privacy Champion program, committee and team meetings in support of business or Privacy requirements
• Serve as a subject matter expert on privacy for questions and business support, with a focus on the HIPAA Privacy Rule
• Monitor and manage the receipt, documentation, tracking, investigation and resolution for complaints concerning Prime's privacy policies and procedures; collaborate with compliance, legal counsel and designated business areas to gather information, recommend solutions and ensure the appropriate action is taken to resolve or close the issue
• Manage the intake and resolution of complex privacy incidents and complaints involving potential inappropriate use or disclosure of PHII; collaborate with business partners to recommend and ensure implementation of corrective action and support efforts to prevent future incidents
• Research and maintain up-to-date records of applicable federal and state privacy laws; monitor advancements in privacy laws and recommend enhancements to Prime's privacy practices
• Collaborate with legal, Privacy Leadership and others in the development, implementation, and maintenance of privacy policies, procedures and other privacy documentation; develop privacy guidance and tools; evaluate and fulfill the privacy training requirements across the enterprise
• Monitor Prime's compliance with privacy practices and facilitate consistent application of sanctions for failure to comply with privacy policies; collaborate with the Privacy and Security teams, Human Resources, and legal counsel as applicable to ensure individual and organizational adherence to privacy obligations
• Administer oversight and monitoring activities such as site assessments, risk assessments and validations; support vendor relationships and contracting efforts
• Other duties as assigned

• Bachelor's degree in Business, Healthcare, Political Science, Legal, or Juris Doctor or related area of study; or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 5 years of experience working within a legal or compliance role, or in a project or program coordination role within a highly regulated industry
• 2 years of experience working with HIPAA and state or federal privacy laws
• Must be eligible to work in the United States without need for work visa or residency sponsorship

• Strong verbal and written communication skills
• Strong attention to detail; organizational and time management skills
• Proven ability to maintain discretion and confidentiality
• Demonstrated ability to apply critical thinking skills and problem solve through difficult situations
• Experience establishing and maintaining key relationships internally and externally, at all levels of an organization
• Ability to establish rapport and effectively influence and/or present information to a wide variety of audiences

• Healthcare, Pharmacy Benefit Management (PBM) or other managed care work experience
• Master's degree or other advanced education in Business, Healthcare, Political Science, Legal, or related area of study
• Certified Information Privacy Professional (CIPP), Certified Information Privacy Technologist (CIPT) or Certified Information Privacy Manager (CIPM) certifications from International Association of Privacy Professionals (IAPP)
• Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
• Project management experience and/or Project Management Professional (PMP) certification

Every…