Health Compliance Specialist
Full-time Exempt
Location: Lackland AFB, TX
To apply, please email resume to: info@malamallc.com
Responsibilities:
- Coordinate with AFMOA leadership and assigned MTF Privacy and Security Officers to assist with and support organizational activities related to the development, implementation, maintenance of and compliance with the Privacy Act and HIPAA privacy and security requirements as mandated by Federal, DOD, and AFMS policies and procedures.
- Organize ongoing HIPAA compliance activities, noting requirements, milestones, timelines, and resources.This shall incorporate and address all overlapping organizational privacy and security issues, which affect the protection of health information.
- Initiate, facilitate, and promote activities to foster information privacy and securityawareness,toincludeassistingMTFsinthedevelopmentoftailored briefings, presentations, and media articles designed to promote HIPAA awareness activities to MTF staff, beneficiaries, and local base leadership.
- Provide an Education, Training, and HIPAA Awareness Plan that outlines specific efforts taken to meet educational and training needs to promote privacy and security awareness in order to protect health information and Privacy Act data.
- Fully exploit compliance monitoring platforms provided by the Defense Health Agency (DHA), or the Air Force Medical Service to conduct ongoing HIPAA compliance monitoring in coordination with other compliance and operational assessment functions.The contractor shall develop tracking systems to monitor compliance and provide reports.
- Facilitate a map/gap analysis and evaluation of the MTF policies, processes, procedures, and instructions as they relate to privacy, security and the protection of individually identifiable health information/protected health information.Using the HIPAA Privacy rule, DoD Privacy regulations, HIPAA Security rule, DoD/AF Privacy and Security regulations/instructions and any other appropriate guidance as the major sourcedocuments,contractorpersonnelshallcollaboratewithotherclinical, administrative and technical staff within each MTF to completeanalysis. Provide a written report of the analysis findings along with recommendations to MTF executive leadership and the COR.
- Assist the MTFs in the development or use of an existing tool developed or procured by DOD to conduct risk assessments within the MTF.The DOD uses the HHS Security Risk Assessment Tool (SRA). Upon MTF commander approval of the tool, contractor personnel shall provide consultative support and assist the MTF Privacy and Security officers in performing initial and periodic information risk assessments.Report findings and include recommendations to the COR.
- Review/assess all locally maintained MTF business associate agreements to ensure compliance with HIPAA and Privacy Act; where areas of non-compliance are noted, make recommendations for modification to ensure compliance.
- Maintain and comply with current DoD Health Information Privacy Regulation, 6025.18-R, DoD 5400.11-R, “DoD Privacy Program”, OSD Memorandum “Safeguarding Against and Responding to the BreachofPersonallyIdentifiableInformation”,DoDHealthInformationSecurity Regulation, 8580.02-R, Air Force Instruction 31-401, Information Security Program Management, and the most current privacy or security requirements and guidance from AFMSA or DoD agencies. See Appendix E for all applicable publications.
- Interact with the Air Staff Privacy and Security Officers; provide liaison services between AFMSA, AFMOA and assigned MTFs.Contractor personnel shall attend meetings, provide liaison services, and interact with USAF MTF facilities in support of the AFMS HIPAA and Privacy Act Compliance Program.Contractor personnel will not be voting members or chair such meetings.
- Provide subject matter expertise to AFMOA leadership in establishing and implementing goals and objectives as they relate to HIPAA compliance.
- Provide coordination and leadership in the execution of day-to-day programs, projects, and MTF activities to meet ongoing AFMS HIPAA program objectives.
- Assist Privacy and Security Officers to evaluate options and recommend appropriate administration of sanctions for failure to comply with privacy and security policies; they shall assist MTF personnel in coordinating recommendations with appropriate legal counsel.
- Review and provide recommendations/adjustments for research proposals.
- Assist MTF Privacy Officers in developing, deploying and managing a locally developed mechanism or centrally deployed tool, such as the Protected Health Information Management Tool (PHIMT), for use in disclosure accounting within the purview of organizational policy, and as required by law.
- Provide consultative expertise and assistancetoMTFleadershipinestablishingandmaintaininganeffectiveMedical Information Security Readiness Team (MISRT) and privacy compliance committee.These committees are responsible for evaluating and advising leadership on policies, procedures, and initiatives for the privacy and security of beneficiary health care information.
- Provide consultative expertise to assist MTF personnel with implementing, documenting, and maintaining an effective workforce training program encompassing initial and annual refresher training for workforce employees, familiarization training for visiting personnel, and other training programs for HIPAA and Privacy Act compliance. This role shall be limited to assisting the MTF Privacy and Security Officers with implementing the program locally.
- Administer all AFMOA HIPAA and Privacy Act training activities.Track,trend,and makeoverallstatisticsavailableforreportingforall AFMOA staff training and document in accordance with DoD and Air Force policies.
- Seek out and establish best practices in the management of privacy and security of health information.Monitor advancements in privacy and security technologies to identify useful practices, and assist facilities with business case analysis and implementation efforts to react and adapt to new technologies.Provides input on HIPAA compliance for pending policies or technologies prior to AFMOA issuing to field.
- Assist MTF leadership with the development and implementation of policies and procedures into existing and future business operations to ensure cost effective, HIPAA compliant activities throughout the AF Medical Service.
- Provide MTF leadership with assistance and subject matter expertise in the development of local policies and procedures and Medical Group Operating Instructions (OI) designed to ensure compliance with all HIPAA Privacy and Security requirements. Ensure MTF leadership is aware of new or evolving HIPAA requirements and accreditation standards, and when necessary, assist with the review and modification to local policies and procedures to ensure compliance.
- Make recommendations for change and assist with the development of local MTF policy, procedures, OIs, and business practices to ensure HIPAA implementation and compliance using the HIPAA law, HIPAA Rules, DOD regulations, Air Force Instructions and facility policies and instructions as guidance.
- Contractor personnel shall not introduce new procedures or services without prior CO/COR approval. Any disagreements or deviations from established guidelines or new protocols, the CO/COR shall be the deciding authority.
- Abide by US federal and local MTF regulations and requirements concerning the nature of limited privileged communications between patients and contractor personnel as may be necessary for security and personnel reliability programs.Contractor personnel shall also abide by US federal and local MTF regulations concerning the confidentiality of patient records, as embodied in US federal statutes including the Privacy Act of 1974 and HIPAA. They shall comply with DoD Directive 5500.7 Standards of Conduct.All regulations referenced are available for review from the COR.All medical records and reports shall remain the property of the US Government.
- Maintain proficiency in administrator-level applicationsof MHSelectronic training platform, PHIMT,andallHIPAA management applications utilized by the DoD, USAF, and DHA centrally deployed applications and tools, and shall assist military treatment facilities with account maintenance and management, as necessary.
- Provide a mechanism to AFMOA/CC designed to track and trend potential and actual Privacy Act breaches and HIPAA violations and complaints, congressional inquiries, and Department of Health and Human Services inquiries received throughout the AFMS.
- Provide the MTF and AFMOA with assistance in resolving alleged Privacy Act and HIPAA violations and complaints.
- Advise MTF Privacy and Security Officers to provide patient advocate services in matters dealing with patient complaints.
- Assist MTFs with breach notification requirements.
- Prepare, deliver, and maintain all recurring, special, and miscellaneous reports for the HIPAA Compliance Program in support of ongoing program maintenance.
- Establish, monitor, and enforce all report submission deadlines.
- Oversee and coordinate the collection, compilation, and analysis of program activity data; develop, prepare and present comprehensive statistical and narrative program reports.
- Possess a Master's Degree in a relevant field of study such as management, business, healthcare administration or other relevant healthcare specialty
- 10 years' experience in military health care system (MHS) gained through Healthcare Operations, Health Information Management or Health Information Systems activities and HIPAA Compliance.
- 10 years' experience leading high performance teams.
- Holds AHIMA Certified in Healthcare Privacy and Security (CHPS) certification