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Director Privacy - Compliance TX

Company: CHRISTUS Health
Location: Irving
Posted on: June 7, 2024

Job Description:


The Director of Privacy will oversee and maintain a comprehensive and effective privacy compliance program for all CHRISTUS Health entities. The Director of Privacy will provide consultative services on privacy and patient confidentiality issues, lead program development and implementation and ensure privacy and security compliance monitoring. This position reports to the Vice President, Compliance.


Initiates, facilitates, and promotes activities to foster a culture of privacy compliance within CHRISTUS Health
Provides guidance and direction to Privacy Managers and Compliance Officers on HIPAA Privacy rules and other applicable federal and state health care privacy laws
Provides guidance and direction to all CHRISTUS Health Associates on HIPAA Privacy and other applicable federal and state health care privacy laws
Periodically reviews and revises CHRISTUS Health's Privacy Policies and Procedures and guidance materials to facilitate compliance with new privacy-related laws/regulations or changes to existing federal, state, and local privacy rules and regulations
Works with CHRISTUS Health Legal to ensure that CHRISTUS Health has and maintains consent and authorization forms, information notices, and other materials consistent with current rules and regulations
Periodically reviews and maintains the online HIPAA Privacy training modules, and develops new training modules as appropriate
Oversees the delivery of HIPAA training to all applicable medical and professional staff and monitors for training completion with the help of the Privacy Managers and Compliance Officers
Performs and/or directs ongoing compliance monitoring and auditing activities
In collaboration with the Privacy Managers and Compliance Officers, investigates privacy incidents, determines if breach notification is required, and generates reports to affected individuals and, when needed, HHS-OCR or other applicable agencies
In collaboration with the Privacy Managers and Compliance Officers, oversees and administers the process for receiving, documenting, tracking and investigating complaints concerning compliance with CHRISTUS Health's Privacy Policies and Procedures
Facilitates compliance with Privacy Policies and Procedures and consistent application of discipline for failure to comply with HIPAA Policies and Procedures
Assists Legal with recommendations and revisions with business associate agreements and data use agreements
Assists CHRISTUS Health's IRB staff and researchers in assessing privacy requirements for research studies
Cooperates with HHS-OCR and other governmental or legal entities in any compliance reviews or investigations
Coordinates implementation of policies and procedures to facilitate compliance with applicable international data privacy laws
Develops and implements an annual privacy plan in accordance with best practices to ensure effective mitigation and management of privacy compliance risk
Monitors advancements in information technologies as it relates to PHI privacy and security to ensure organization adaptation and compliance
Maintains rapport with all business units to facilitate spirit of collaboration
Serves as a resource for questions regarding application of relevant privacy laws and regulations and privacy program policies and procedures
Initiates, facilitates, and promotes activities to foster privacy awareness within all entities
Investigates and manages privacy incidents, complaints, and breaches at Corporate
Ensures all reporting required under applicable privacy laws and regulations are completed and submitted in a compliant and timely manner
Facilitates consistent application of sanctions across all lines of business and all regions for failure to comply with privacy policies for all Associates in the workforce, in cooperation with Human Resources, Information Security, and Legal, as applicable
Responds to and resolves privacy-related concerns received via the CHRISTUS Health Integrity Line in coordination with all business units
Researches privacy laws/regulations as needed or requested and provides guidance to affected parties
Collaborates with Information Security including reviewing security risk assessments to facilitate effective mitigation of identified risks
Collaborates with Interoperability workgroup to facilitate compliance with Information Blocking Rules


Bachelor's degree
Relevant Master's degree or JD preferred
Demonstrated knowledge in HIPAA Privacy, HIPAA Security, applicable state Privacy statutes and regulations
Working knowledge of hospital operation processes
Ability to detect deficiencies in processes and determine educational needs to improve outcomes
Minimum of five to seven years general healthcare compliance experience with knowledge of hospital operations, physician services and health plan privacy requirements
Minimum five years' experience in regulatory research and knowledge of federal, state healthcare privacy requirements
HIPAA Privacy Officer experience strongly preferred
Certified in Healthcare Privacy Compliance (CHPC) preferred.

Work Type:

Full Time

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Keywords: CHRISTUS Health, Irving , Director Privacy - Compliance TX, Executive , Irving, Texas

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