Compliance Analyst (HIPAA/Privacy)

$43,888 - $88,511/Yr

Molina Healthcare - Louisville, KY

Full-time - Mid Level

Louisville, KY

Insurance Carriers and Related Activities

About the position

The Compliance Analyst (HIPAA/Privacy) at Molina Healthcare is responsible for supporting the day-to-day operations and initiatives of the HIPAA Department. This role involves providing technical expertise in regulatory and legislative interpretation, managing compliance incidents, and ensuring adherence to HIPAA and state privacy laws across Molina's product lines. The analyst will also create and maintain performance reports, assist with audits, and coordinate regulatory compliance activities.

Responsibilities

• Support the day-to-day operations and initiatives of the HIPAA Department.
• Provide technical expertise to interdepartmental regulatory and legislative interpretation inquiries.
• Perform Plan Required Reporting and analyze HIPAA and state privacy laws.
• Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports.
• Manage compliance incidents and related processes, including corrective action plans.
• Respond to legislative and member inquiries/complaints.
• Assist with the regulatory memo distribution process.
• Review, revise, and manage Molina Privacy policies and procedures.
• Review and respond to member requests to access PHI and other HIPAA individual rights.
• Support internal and external audit and readiness reviews.
• Maintain business associate agreements and coordinate site visits for regulators.
• Lead large, complex projects to achieve compliance objectives.
• Interpret and analyze federal and state regulatory manuals and revisions.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or Information Technology.
• 4 years of experience in the healthcare industry or related field.
• Certified Information Privacy Professional (CIPP) certification preferred.

Nice-to-haves

• Experience in financial services industry.
• Certified in Healthcare Compliance.

Benefits

• Health insurance