National Jewish Health (NJH) is currently seeking a Privacy Officer to join our dynamic Compliance team. The candidate selected for this role will be a team player who is detail oriented and motivated to support NJH as the leading respiratory hospital in the United States. This position will impact the institution by providing leadership on privacy and compliance related issues. The ideal candidate will display a high level of initiative and independent judgment.
Manages the National Jewish Health (NJH) HIPAA Privacy Program. Oversees all ongoing activities related to the development, implementation, maintenance of, and adherence to the organization’s policies and procedures covering the privacy of, and access to, patient health information in compliance with federal and state laws and NJH’s information privacy practices. Expected to advise NJH leadership on the privacy program and guidelines to ensure privacy compliance. Supports the Executive Director in management and implementation of the Corporate Compliance program. Works closely with the Security Officer on compliance issues, as necessary, to ensure alignment between security and privacy compliance and serves as a liaison to the IRB committee.
1. Provides development guidance and assists in the identification, implementation, and maintenance of organization information privacy policies and procedures in coordination with organization management and administration.
2. Performs initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities in coordination with the entity’s other compliance and operational assessment functions.
3. Ensures development delivery of initial and on-going privacy and compliance training to all employees, volunteers, medical staff, contractors, and other appropriate third parties.
4. Serves as the functional lead in the development, implementation, and ongoing compliance monitoring of all business associate agreements, to ensure all privacy concerns, requirements, and responsibilities are addressed.
5. Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on all complaints concerning the organization’s privacy policies and procedures in coordination and collaboration with other similar functions and, when necessary, Human Resources and Compliance leadership.
6. Maintains current knowledge of applicable federal and state privacy laws and accreditation standards, and monitors advancements in information privacy technologies to ensure organizational adaptation and compliance.
7. Cooperates with the Office of Civil Rights, other legal entities, and organization officers in any compliance reviews or investigations.
8. Serves as a Joint Commission and CMS consultant to Patient Safety and Quality Department.
9. Assists in the development, monitoring and implementation of the NJH Compliance Program. Key contributor to the achievement of the Compliance Department goals and objectives, ensuring the effective day-to-day operation of the Compliance Program.
1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
2. Attention to Detail: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. Setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed.
3. Building Strategic Relationships: Identifying opportunities and taking action to build strategic relationships between one’s area and other areas, teams, departments, units, or organizations to help achieve business goals.
4. Building Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.
5. Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.
6. Impact and Influence: Using appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations, and individuals involved. The ability to generate support from others to achieve desired business outcomes. It also involves taking advantage of opportunities to make a difference and have an impact. When used well, the intended outcome of this competency is the creation of goodwill, trust, and respect while motivating people to want to follow you even when they don’t have to.
7. Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
Supervisory or Managerial Responsibility
Serves as a functional manager in scope and decision-making, no direct reports.
1. Be available to work as scheduled and report to work on time.
2. Be willing to accept supervision and work well with others.
3. Be well groomed, appropriately for your role and wear ID Badge visibly.
4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
5. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
7. Wears appropriate PPE as outlined by the infection control policies and procedures.
8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.
Bachelor’s degree in related field required. Master’s degree preferred.
A minimum of five (5) years healthcare regulatory experience interpreting and managing federal and state regulations in a health care setting. Experience with human subjects research preferred.
Special Training, Certification or Licensure
Professional Privacy Certification, e.g. HCCA, preferred.