Position Summary
Under general supervision, the Analyst will support the institution’s compliance, privacy and contract management functions. This role involves ensuring that all contracts comply with legal requirements and internal policies, conducting compliance audits, and providing training to staff. The Analyst is responsible for 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, protected health information (PHI) and personally identifiable information (PII) in compliance with federal and state laws and NJH’s information privacy practices.  The Analyst stays current on and applies applicable state and federal privacy and compliance related law. serves as the initial contact for internal privacy and compliance resource for staff and patients.  

Essential Duties

1. Reviews and negotiates contracts with vendors, suppliers, and partners. Ensures all contracts comply with legal requirements and institutional policies. Maintains a database of all contracts and tracks key dates and obligations. Conducts contract audits and compliance reviews to identify and mitigate risks.
2. Conducts periodic risk assessments, prepares and summarizes interview notes, documents the investigation and assessment, and summarizes the outcome for each assigned event.
3. Responsible for incident investigation and management. Investigates privacy incident and compliance reported events; develops recommendations regarding incidents and events. Conducts preliminary assessments of potential or actual privacy and compliance incidents on behalf of the Department. 
4. Participates in investigations, mitigation, sanctions and other corrective action with appropriate workforce members including Human Resources, Management and Information Systems and Technology.
5. Assists in coordinating with external agencies such as the Office of Civil Rights, other legal entities, organization officers, and internal departments on documentation requests and submissions, preparing for onsite audit visits and corrective action plan responses.  
6. Responsible for privacy surveillance of electronic medical record systems using programs and software. Ensures privacy monitoring is performed effectively and timely; follows established procedures in accordance with data security standards; utilizes various systems to perform routine and complaint driven privacy surveillance; updates and maintains privacy files and spreadsheets.
7. Assists with the management of business associate agreements to ensure all privacy concerns, requirements, and responsibilities are addressed.
8. Assists with regulatory notifications within regulatory time frames when required.
9. Assists with policy development and revisions. Recommends applicable updates.
10. 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.
11. Assists in the development, implementation and monitoring of the departmental and institutional initiatives like data governance.  Key contributor to the achievement of the Department goals and objectives, ensuring effective day-to-day operations.

Competencies

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. 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. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. Managing Work and Time/Project Management: Effectively managing one’s time and resources to ensure that work is completed efficiently. Effectively manages project(s) by appropriately focusing attention on the critical few priorities; effectively creates and executes against project timelines based on priorities, resource availability, and other project requirements (i.e., budget); effectively evaluates planned approaches, determines feasibility, and makes adjustments when needed.
8. Initiative: Taking prompt action to accomplish objectives; taking action to achieve goals beyond what is required; being proactive.
9. Building Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.

Supervisory or Managerial Responsibility
None

Travel
Minimal

Core Values

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.

Salary Range: $65,000 - $83,000

Benefits
At National Jewish Health, we recognize that our outstanding faculty and staff are the essence of our organization. For every aspect of health care, our employees are our greatest asset.

With that in mind, we have designed a valuable, comprehensive benefits package to meet the needs of our employees and their families.

• Medical Plans, Dental Plans and Vision Insurance
• Retirement Plan
• FSA and HSA
• Short and Long Term Disability
• Life Insurance and AD&D
• Voluntary Benefits, like Accident Insurance, Critical Care and Hospital Indemnity
• Paid Time Off Accruals
• Wellness Program
• Legal Plan

Minimum Qualifications

1. Education: Bachelor’s Degree required. Master’s degree preferred.
2. Work Experience: 2 years of experience in compliance, privacy, audit, health information management, legal support or senior/executive administrative support, privacy, audit and/or investigative capacity in a healthcare setting required.
3. Special Training, Certification or Licensure: Certification in Health Care Privacy and/or Compliance preferred (HCCA or IAPP).

About National Jewish Health

National Jewish Health is a non-profit, non-sectarian institution and is a longstanding cornerstone in the Denver healthcare community. National Jewish Health seeks to attract the best-qualified candidates who support the mission, vision and values of the Institution and those who respect and promote excellence through diversity. We are committed to providing equal employment opportunities (EEO) to all employees and applicants without regard to race, color, creed, religion, sex, age, national origin, citizenship, sexual orientation, gender identity and expression, physical or mental disability, marital, familial or parental status, genetic information, veteran status or any other legally protected classification. We are a tobacco and fragrance free environment.

Connections working at National Jewish Health