Privacy and Compliance Specialist

About the role

The Privacy & Compliance Specialist position at Capital Blue Cross involves developing, administering, and implementing Privacy and Compliance programs to ensure adherence to regulatory, contractual, and organizational requirements. This role requires coordination with internal customers, engagement with legal teams, and participation in cross-functional projects.

Responsibilities

• Develops, maintains, and oversees monitoring and tracking mechanisms for privacy and compliance-related initiatives, regulatory requirements, corrective actions, and program deliverables.
• Maintains accurate, complete, and audit-ready documentation to support privacy and compliance program activities, reporting, and oversight responsibilities.
• Coordinates and supports the development, administration, and implementation of the Privacy and Compliance programs to ensure timely and effective execution of required activities.
• Supports incident reporting and corrective action processes to ensure compliance issues are identified, documented, addressed, monitored, and resolved in a timely manner using an approach designed to prevent recurrence of similar issues.
• Administers, performs, or coordinates assigned Privacy and Compliance program activities, including intake, documentation, investigation, escalation, and resolution of privacy inquiries or referrals.
• Develops, coordinates, and tracks compliance training and awareness initiatives.
• Performs other duties as assigned by management, the Privacy Officer, the Compliance Officer, or the Chief Compliance Officer.

Qualifications

• Strong communication and interpersonal skills, including formal presentations and the ability to effectively engage with all levels of the organization.
• Demonstrated leadership and professionalism, including self-management, sound judgment and integrity.
• Analytical and critical thinking skills, with the ability to interpret and apply laws and regulations to complex situations.
• Ability to manage multiple priorities and adapt to change, working independently while knowing when to escalate or seek guidance.
• Collaboration and influence skills, including the ability to work cross-functionally, negotiate, and resolve issues effectively.
• Attention to detail and commitment to producing accurate, complete, and high-quality work products.
• Strong organizational and problem-solving capabilities.
• Discretion and confidentiality, with the ability to handle sensitive information appropriately.
• Technical proficiency, including effective use of standard business applications and a drive for continuous learning.

Skills

• Strong communication and interpersonal skills.
• Demonstrated leadership and professionalism.
• Analytical and critical thinking skills.
• Ability to manage multiple priorities and adapt to change.
• Collaboration and influence skills.
• Attention to detail and commitment to accuracy.
• Technical proficiency.
• Continuous learning drive.

Benefits

Capital Blue Cross offers a comprehensive benefits package including Medical, Dental & Vision coverage, a Retirement Plan, generous time off, an Incentive Plan, Tuition Reimbursement, and more. Employees can also take advantage of volunteer time off and participate in community service opportunities.

Pay

The salary range for this position is influenced by a variety of factors including qualifications, experience, and contributions to meet business needs, along with internal pay equity and external market-driven rates. The range has not been adjusted for geographical location.

Schedule

Hours and schedule details are not specified in the job posting.

Requirements

• 3 years of experience in privacy, compliance, regulatory, audit, healthcare operations, health insurance, or a related field.
• Experience interacting with regulators preferred.
• Relevant health insurance operational experience preferred.
• Relevant compliance, privacy, or healthcare certification preferred.

Education and Certifications

• A High School degree or equivalent.
• A Bachelor’s degree preferred.

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital Blue Cross, you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.