Healthcare Compliance and Privacy Program

Full Time

77517BR

Job Summary

The Privacy Manager plays a critical role in the development, implementation, and oversight of the Privacy Compliance Program for the UCSF enterprise, which includes the Schools of Medicine, Nursing, Dentistry, and Pharmacy, all UCSF Campus Departments, UCSF Health, UCSF Benioff Children's Hospital Oakland and the UCSF Health Network.
The Privacy Manager must possess comprehensive knowledge of the HIPAA Privacy and Security Rules for the development and enhancement of a robust privacy compliance program.
The Privacy Compliance program consists of: privacy education and training, research privacy compliance, development and maintenance of privacy and compliance-related policies and procedures, privacy compliance governance and oversight, as well as the auditing and monitoring of privacy compliance activities such as privacy training and operational compliance. The UCSF Privacy Compliance program also includes regulatory support for privacy compliance concerns and issues across UCSF enterprise, including BCH-Oakland and UCSF Health Network.
In addition to the core responsibilities, the Privacy Manager is tasked with:
1. Coordinating and developing intake strategies for privacy and compliance activities to ensure a systematic approach to identifying, managing, and resolving privacy concerns and compliance issues within the enterprise.
2. Collaborating with department management to develop effective workflows and documentation standards that ensure all privacy and compliance activities are clearly documented and maintained according to the highest standards.
3. Monitoring risk trends by analyzing compliance data and industry trends to assess and implement risk mitigation activities.
4. Assisting the Privacy and Data Security Compliance Officer in the development of the Privacy annual risk assessment, and the creation of detailed work plans based on risk assessment findings, as well as ensuring the execution of these plans to address identified risks in a timely and efficient manner.
5. Preparing and presenting reports and presentations that capture the progress, outcomes, and insights derived from the risk assessments, work plans, and the overall functioning of the privacy and compliance program.
The Privacy Manager is instrumental in ensuring that the UCSF Enterprise, which includes the Benioff Children's Hospital Oakland and UCSF Health Network workforce, receives pertinent education on compliance and privacy-related regulations, policies, and procedures. They continuously assess the effectiveness of the privacy education program, making necessary updates and keeping UCSF leadership informed of progress and issues.
Moreover, the Privacy Manager manages the Research Privacy Compliance Program, which includes management of the multidisciplinary Research Privacy and Security Committee, which is responsible for tracking research privacy issues and risks and recommending mitigation strategies.
The Privacy Manager is responsible for leading the privacy program staff in a manner that aligns with UCSF's PRIDE values, collaborating with other department managers to foster employee development and retention, and ensuring that the staff is fully aware of their role in supporting the UCSF privacy compliance program.
The Privacy Manager also functions as a key representative for the Privacy and Data Security Compliance Officer in complex executive meetings, conference calls, committees, and other significant engagements etc., and ensures UCSF's privacy compliance program is effectively communicated and implemented. The Privacy Manager also serves as a backup for managing complex investigations and responses to regulatory agencies.

The final salary and offer components are subject to additional approvals based on UC policy.

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Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.

For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.

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Department Description

The Office of Healthcare Compliance and Privacy (OHCP) partners with the UCSF community and senior leadership to coordinate and guide compliance efforts across the campus and health system. OHCP is responsible for oversight and compliance with all laws, regulations and policies related to Privacy and Healthcare Compliance, which includes prevention of fraud, waste and abuse in federal healthcare programs. The department provides compliance oversight in these areas for the entire UCSF enterprise, including the School of Medicine, all UCSF Campus Departments, UCSF Health, Langley Porter Psychiatric Institute, Benioff Children's Hospital Oakland, and the UCSF Health network.

The Privacy unit within OHCP provides privacy compliance oversight (including privacy consultation, education and training, risk mitigation activities and investigations) for the entire UCSF enterprise, including the Schools of Medicine, Nursing, Dentistry and Pharmacy, all UCSF Campus Departments, the UCSF Health System, Langley Porter Psychiatric Institute, Benioff Children's Hospital Oakland and the UCSF Health Network.

Required Qualifications

• Bachelor's degree in a related area and/or equivalent experience/training.
• A minimum of 4-6 years of professional experience in information privacy compliance or related.
• A minimum of 3-5 years of professional experience in a lead/supervisory capacity.
• Ability to work creatively with a wide range of faculty, management, staff, and representatives of regulatory agencies and to solicit and incorporate their ideas when appropriate, to be critical about information and apply it appropriately, and to promote and develop others.
• Ability to apply conceptual understanding of the approaches and methods of process improvement to improve privacy and compliance operations, including planning, setting priorities, systematic performance assessment, implementation based on such assessment, and maintaining achieved improvement.
• Knowledge of privacy healthcare compliance rules, regulations, and best practices. Proven ability to apply theoretical concepts to define departmental or organizational operations and workflows to meet organizational goals while maintaining compliance with applicable rules and regulations.
• Knowledge of federal and state health services and privacy regulations, including Fraud, Waste and Abuse laws, HIPAA, the Information Practices Act, and Confidentiality of Medical Information Act (CMIA); also has knowledge of medical center, campus and UC policies. Ability to apply policy knowledge to proactively identify potential risk areas and develop solutions to mitigate risks.
• Knowledge of the issues and challenges facing the clinical, education, and research components of the enterprise with the ability to adopt privacy compliance efforts to effectively respond to changes in health care and research practices, regulatory changes, and technological trends.
• Effectively communicates, listens, advises, and educates in a way that builds and maintains a climate of trust amongst all levels of the organization and inspires commitment from others to achieve organization goals. Exhibits judgment and business acumen necessary to effectively advocate for privacy agenda.
• Generates and encourages creative ideas, innovative thinking, and imaginative solutions to issues or problems. Is able and willing to solve problems from various points of view and make difficult decisions.
• Demonstrated ability to manage multiple, complex, and competing priorities.

Preferred Qualifications

• Master's degree in a related area.
• Juris Doctorate
• Certified in Healthcare Privacy Compliance (CHPC)
• Certified in Healthcare Privacy and Security (CHPS)
• Certified in Healthcare Compliance (CHC)
• Ability to accomplish results and effectively achieve solutions across units with business plans amid competing priorities in a complex multi-mission organization. Demonstrates and sets high standards of behavior, performance, quality, credibility and integrity.
• Recognizes the need for change; adapts to, and causes others to adapt to values, strategies, goals and plans in response to changing business conditions.
• Experience with privacy and healthcare compliance in an academic medical center.

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

006587 PRIVACY AND CMPLNC HC MGR 1

Job Category

Legal Services, Professional and Managerial, Supervisory / Management

Bargaining Unit

99 - Policy-Covered (No Bargaining Unit)

Employee Class

Career

Percentage

100%

Location

Mission Bay (SF), San Francisco, CA

Shift

Days

Shift Length

8 Hours

Additional Shift Details

Monday - Friday