About BHI
BHI is a pioneering healthcare analytics company at the forefront of analytics and AI innovation in healthcare. We are the analytics partner for Blue Cross Blue Shield plans nationwide, and our transformative solutions impact cost, quality, and outcomes from tens of millions of Americans. Our unparalleled data gives us the opportunity to drive insights into healthcare delivery.
Our team is comprised of passionate healthcare, analytics, and data engineering experts who have invested years solving the problem of turning healthcare data into insights that can drive value. We partner with BCBS Plans both nationally and locally to use these insights to drive solutions that create measurable value across the healthcare continuum. Working with these plans, we’re uniquely positioned to deploy analytic solutions at scale across the nation’s largest healthcare system. Join us as we help improve healthcare for all
Job Summary
We are seeking a Associate Data Compliance and Governance Specialist to support the compliance, governance, and operational integrity of our large national dataset of Medical and Pharmacy claims data. In this role, you will assist in maintaining data privacy, security, and regulatory compliance while ensuring high data quality and adherence to internal policies. This position is ideal for an analytical thinker with an interest in healthcare data governance, compliance frameworks, and operational workflows.
Key Responsibilities
- Assist in monitoring and enforcing compliance with HIPAA, HITECH, and other relevant data privacy regulations and ethical standards .
- Support data access and usage policies to ensure data is used ethically and securely.
- Work with data engineers and analysts to maintain data quality standards, metadata documentation, and data lineage tracking.
- Assist in data audits and reporting, ensuring adherence to internal and external compliance requirements.
- Collaborate with internal stakeholders to support data-sharing agreements and vendor compliance.
- Help implement and refine data governance tools and processes to improve efficiency and accuracy.
- Participate in cross-functional meetings to provide input on data privacy, security, and governance considerations.
Qualifications
- Bachelor's degree in data science, Information Systems, Healthcare Administration, or a related field.
- Master’s degree in public health, biomedical data science, or related field a plus.
- 1-3 years healthcare experience in data an alytics, data science, data governance, data operations, or related role s .
- Knowledge of governance, risk management and compliance fra meworks.
- Basic knowledge of HIPAA, HITECH, and other data privacy regulations.
- Experience with data management tools, SQL, or cloud-based data platforms is a plus.
- Strong attention to detail, problem-solving skills, and ability to interpret regulatory requirements.
- Excellent communication skills and ability to work in a cross-functional team environment.
- Maintain controls, reporting and transparency necessary to comply with customer and BCBSA confidentiality, HIPAA, PHI and PII standards, as well as SOC2 and HiTrust certifications.
Equal Employment Opportunity It is the policy of BHI to provide equal employment opportunity and advancement opportunities to all colleagues and qualified applicants for employment without regard to race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity, or any other classification protected by the federal, state, or local laws
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