Sr. Hipaa Project/Program Manager Spanish Bilingual (Non-It) - Remote

Sr. HIPAAProject/Program Manager Spanish Bilingual (Non-IT) - REMOTE

Request ID: 48178-1

We are looking to hire a candidate with the below skill sets mentioned and experience for one of our major clients within the Health Insurance industry. This position is 100% REMOTE. This is a 6-month contract with potential for extension. 

*The Position will be fully remote and will accept candidates located anywhere in the US. The schedule will be M-F 8 AM - 5 PM local time zone. This individual may continue to work in the same time zone with the understanding that some work may be outside of their time zone.

Position Summary/Responsibilities:

(Sr. HIPAA Program Manager)

The Senior HIPAA Program Manager position is primarily responsible for the investigation of allegations of privacy violations.

• Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions.
• Energetic and forward-thinking with high ethical standards and a professional image.
• Ability to work independently.
• Collaborative and team oriented.
• Respond to all allegations of privacy violations.
• Conduct investigations of privacy incidents involving members, providers, and employees.
• Analyze data, contract terms, and other documentation to substantiate and/or unsubstantiated privacy allegations and identify potential patterns.
• Apply regulatory and contractual requirements as well as internal policies and procedures to the case investigation process.
• Perform data analysis, research, and review of privacy violations to identify trends, patterns, and outliers.
• Conduct interviews to gather additional evidence.
• Research and investigate member and/ or health plan cases through internal Alertline.
• Communicate with members, providers, and internal stakeholders routinely regarding issues including investigative findings, Compile, report, and present privacy incidents to the appropriate regulatory agency.
• Maintain the integrity of documentation for privacy incidents. Update case management system to ensure documentation of all calls, evidence, referrals, inquiries, and case events are accurate for record-keeping purposes and for “Discovery” in court-related cases.
• Prepare the Board of Directors and ad hoc reports as necessary.
• Use investigative findings and trends to determine where there is a need for a corrective action plan (CAP) based on online of business (LOB), severity of the issue, regulatory compliance requirements, and health plan exposure.
• Develop and maintain relationships with key business units within specific product lines and geographic regions.

Required Skills/Experience/Education:

• 5+ years of healthcare experience.
• Intermediate/advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint, and Intra/Internet.
• Strong logical, analytical, critical thinking, and problem-solving skills.
• Initiative, excellent follow-through, and persistence in locating and securing needed information.
• Ability to multi-task and operate effectively across geographic and functional boundaries.
• Detail-oriented, self-motivated, able to meet tight deadlines.
• Ability to develop realistic, motivating goals and objectives, track progress, and adapt to changing priorities.
• Proven ability to research and interpret regulatory requirements.
• Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.
• Excellent oral and written communication skills.
• Energetic and forward-thinking with high ethical standards and a professional image.
• Ability to work independently.
• Collaborative and team oriented.
• Bachelor’s Degree; (preferred graduate degree); equivalent combination of education and experience.

Other job specifications:

• Employment Type: Contract to Hire (CTH), W2 only. NO C2C.
• Contracting Period: 6-month contracting opportunity with the potential for extension and/or permanent employment.
• Job Location: 100% REMOTE. The Position will be fully remote and will accept candidates located anywhere in the US.
• The Schedule:  Will be M-F 8 AM - 5 PM local time zone.
• Contract Rate/Salary: $45/hr. on W2.
• Interview Process: Phone/WebEx.