Privacy Analyst

Primary Function/General Purpose of Position

The Privacy Analyst investigates potential privacy breaches and noncompliance with BSMH Privacy/HIPAA-related policies. The Analyst is responsible for implementing and administering BSMH’s Privacy policies and procedures, and helping to ensure compliance with HIPAA, HITECH and state mandated privacy and confidentiality requirements. The Analyst participates in other privacy-related duties as necessary or as assigned.

Essential Job Functions

- Investigates, documents, and reports on issues related to privacy and confidentiality of Protected Health Information (PHI) under HIPAA (Health Insurance Portability and Accountability Act of 1996).
- Reports breaches to the DHHS Office for Civil Rights (OCR) in compliance with governing federal laws and prepares breach notification letters per the requirements of BSMH policies.
- Requests data and/or access audits of electronic systems and incorporates audit finding results into investigations.
- Creates and maintains electronic documentation for privacy incident investigations, resolutions, and corrective actions/sanctions.
- Meets regularly with and keeps Director, Privacy apprised of the status of all investigations and projects.
- Ensures corrective action plans addressing HIPAA are implemented and functional.
- Maintains confidentiality of investigations.
- Travel, if required by the Director, Privacy and approved by the VP, Compliance and Privacy, to complete on-site education and investigations.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

Certified in Healthcare Privacy Compliance - Health Care Compliance Association (preferred)

Certified Information Privacy Manager  - International Association of Privacy Professionals (preferred).

Education

Bachelors, Business Administration, Health Care Management, Nursing, or Health Information Management (preferred).

Work Experience

4-6 years’ experience working with HIPAA and HITECH privacy rules or related compliance areas (required)

Prior healthcare experience (preferred).

EPIC Electronic Health Record experience (preferred).

Training

None

Language

None

Patient Population

Not applicable to this position

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

General office environment.

May have periods of constant interruptions.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Prolonged periods of working alone.

Additional Physical Requirements/Hazards

Physical Requirements

Acuity – near

Hazards

Not applicable to this position

Skills

Strong knowledge of Privacy, Security, and Breach Notification Laws

Advanced skill in Conducting, documenting, and reporting privacy incidents and breaches.

Drafting and issuing breach notification letters per regulatory requirements.

Strong skills with Incident Management Systems (e.g., Symplr, SafeCARE)

Reporting breaches to the DHHS Office for Civil Rights (OCR) and other authorities

Proficient in creating and maintaining electronic records for investigations and resolutions.

Proficient in Electronic Health Record (EHR) & Safet Event system proficiency (e.g., EPIC, SafeCARE)

Proficient in Microsoft Office & CoPilot Proficiency

Attention to Detail

Maintaining strict privacy of sensitive information

Clear Communication & Active Listening Skills

Thriving in fast-paced, changing regulatory environments

Collaboration with team and stakeholders

Handling privacy complaints with empathy and professionalism

Managing multiple investigations and deadlines efficiently.

Keeping records and projects well-structured

Handling stressful situations and fluctuating workloads

Integrity in everything

As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts

- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

- Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected] . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]