Job Description
At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY: This position is responsible for investigating all privacy inadvertent disclosures, privacy breaches across the organization and on time in compliance with applicable policies and procedures and relevant regulations. Coordinates with Talent and managers/supervisors to ensure compliance with Privacy Corrective Action policy. Additionally, ensures that the company remains compliant with potential reporting obligations under federal, state, rules and regulations, in all locations that the company operates, as it relates to privacy. Prepares all documentation on privacy breaches across the organization and provides quarterly reporting in preparation for leadership. This position will act as Business Analyst (BA), as well as Project Manager (PM) on regulatory matters. As a Business Analyst, this position will require the application of best practices to facilitate the elicitation, organization and documentation of business requirements related to regulatory filings, working with members of assigned company business units. For purposes of Project Management, this position will be responsible for planning, organizing, and coordinating efforts between a number of operational areas within the organization, as well as with the regulatory compliance departments of Claritev’s clients, when applicable. JOB ROLES AND RESPONSIBILITIES: Under the supervision and direction of the Chief Privacy Officer: Actively investigates all privacy matters across the organization. Provides guidance, advice, and education for business leads and employees regarding privacy issues in compliance with federal and state privacy laws including HIPAA and applicable global privacy laws. Monitors, addresses, and responds to both internal and external reported privacy violations and inadvertent disclosures received via email, phone, and other methods Advises business leads on corrective action regarding privacy violations, inadvertent disclosures, ensures completion of appropriate documentation, and written correspondence is completed and maintained. Collaborates with Talent concerning corrective action regarding privacy violations. Compiles documentation, data entry, and analysis of privacy matters ongoing and prepares quarterly reporting and preparation of data for leadership. Maintains primary responsibility for initiating, planning, executing, controlling and closing all regulatory compliance filing activities, including development of project plan and timetable with identified roles and responsibilities for each task. Identifies, calculates, mitigates, and monitors risk, creating contingency plans and advising management, as appropriate. Develops work plan for each regulatory filing and prepare executive summary for management review. Actively solicits, analyzes, and documents regulatory filing requirements in order to ensure that the project team can develop solutions that meet the regulatory filing needs, and establish and maintain agreement between assigned Claritev business units and project teams on the deliverables required to meet the regulatory filing requirements. Tracks and resolves issues by proposing viable solutions. Manages multiple priorities, customer expectations, and relationships with all stakeholders. Manages relationships with customers, project managers, and any/all levels of management. Collaborates, coordinates, and communicates across disciplines and departments. Ensures compliance with state and federal laws relating to securities, healthcare, data privacy and security (including HIPAA), and government programs. Demonstrates commitment to the Company’s core values. Please note due to the exposure of PHI sensitive data – this role is considered to be a High Risk Role. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. JOB SCOPE: This individual works under supervision and with a moderate amount of discretion to make decisions that affect the day-to-day operations within the Company. The successful candidate must be able to work with minimal supervision. The incumbent follows established procedures and uses knowledge of the Company’s general business principles, to complete job responsibilities. Work requires basing decisions o
