Privacy Consultant

Responsible for carrying out compliance reviews that ensure company personnel and/or applicable third-party vendors are complying with current corporate policies and all laws and regulations. Collects and prepares information to provide support to Divisional Management. Provides management with recommendations to better manage risks, strengthen internal controls and deter and reduce non-compliance. Reviews compliance procedures and reports on findings to management. Accountable for complying with all laws and regulations associated with duties and responsibilities.

This role does not manage people

This job reports to:
Departmental Leadership

Necessary Contacts:
In order to effectively fulfill this position, the incumbent must be in contact with:
Internal - all levels of company management and personnel. External - consultants, auditors, investigators, regulatory bodies, BCBS Association, and other external sources that may provide information for a review such as providers and other Blue Cross plans.

Education Bachelor's Degree in Business Administration, Management, Finance or a related field required Master's Degree in Business Administration, Management, Finance or a related field with previous audit experience preferred Four years of related experience can be used in lieu of a Bachelor’s degree.

Work Experience 3 years of experience in a predominantly analytical position required Audit experience should include evaluating risks and effectively planning an audit approach, developing a risk-based audit program, completing fieldwork using supporting work paper techniques, and effectively communicating results upon completion. required Previous healthcare, insurance, compliance and Medicare programs experience preferred.

Excellent oral and written communication skills. Working knowledge of Microsoft software and other relevant software. SharePoint experience preferred. Incumbent must maintain complete confidentiality of information encountered. Ability to conduct research and audit functions necessary. Ability work extended hours with some travel required.

Certification in an audit (CIA, CPA) field preferred.

Conducts audits, reviews, periodic evaluations and special reviews as identified in annual risk assessment or as specified by management, to determine Company's compliance with laws and regulations. Researches and remains current with applicable State and Federal laws and regulations, in addition to standard operating procedures relevant to the Code of Business Conduct and Compliance program, to ensure the Company is in compliance.

Advises the Compliance Management of changes and new regulations. Advises various levels of personnel on compliance issues related to products, services, regulations and laws to ensure the Company is in compliance. As necessary, coordinates with Internal Audit on periodic Privacy Audits, including Reviews of Standard Operating Procedures, Operational Checks and Balances and Management Controls to identify problems and to recommend corrective actions.

Conducts special reviews and privacy investigations originating as a result of alleged violations of the Code of Conduct (including fraud, abuses, and other related improprieties) and reports findings to Compliance Management. Assists Compliance Management in other areas, as assigned by Compliance Management, to include training and education of the Company employees regarding the Information Governance & Privacy program and other compliance related education to ensure employee understanding of compliance and ethics.

When requested, coordinates and/or assists with external audits, special projects and examinations to ensure their successful completion. Ability to work extended hours with some travel required.

An Equal Opportunity Employer

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Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process.

Due to the high volume of applications we receive, only those most qualified will be contacted.

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