Prime Therapeutics · 2 hours ago
Medi-Cal Privacy Officer - REMOTE in California
United States
Full-time
Remote
Mid, Senior Level
$74K/yr - $118K/yr
5+ years expPrime Therapeutics is a unique PBM focused on connecting care for those they serve. The Medi-Cal Privacy Officer will ensure compliance with privacy laws and regulations, develop and maintain privacy policies, and oversee privacy initiatives across the organization.
Health CarePharmaceutical
No H1B
Responsibilities
Collaborate with Privacy leadership and internal business partners and assigned business areas to ensure Prime possesses the appropriate privacy materials; facilitate ongoing maintenance of these materials to ensure alignment to current practice, industry trends and regulatory changes
Administer policies and procedures, facilitate Privacy Champion program, committee and team meetings in support of business or Privacy requirements
Serve as a subject matter expert on privacy for questions and business support, with a focus on the HIPAA Privacy Rule
Monitor and manage the receipt, documentation, tracking, investigation and resolution for complaints concerning Prime's privacy policies and procedures; collaborate with compliance, legal counsel and designated business areas to gather information, recommend solutions and ensure the appropriate action is taken to resolve or close the issue
Manage the intake and resolution of complex privacy incidents and complaints involving potential inappropriate use or disclosure of PHII; collaborate with business partners to recommend and ensure implementation of corrective action and support efforts to prevent future incidents
Research and maintain up-to-date records of applicable federal and state privacy laws; monitor advancements in privacy laws and recommend enhancements to Prime's privacy practices
Collaborate with legal, Privacy Leadership and others in the development, implementation, and maintenance of privacy policies, procedures and other privacy documentation; develop privacy guidance and tools; evaluate and fulfill the privacy training requirements across the enterprise
Monitor Prime's compliance with privacy practices and facilitate consistent application of sanctions for failure to comply with privacy policies; collaborate with the Privacy and Security teams, Human Resources, and legal counsel as applicable to ensure individual and organizational adherence to privacy obligations
Administer oversight and monitoring activities such as site assessments, risk assessments and validations; support vendor relationships and contracting efforts
Other duties as assigned
Qualification
Required
Bachelor's degree in Business, Healthcare, Political Science, Legal, or Juris Doctor or related area of study; or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
5 years of experience working within a legal or compliance role, or in a project or program coordination role within a highly regulated industry
2 years of experience working with HIPAA and state or federal privacy laws
Must be eligible to work in the United States without need for work visa or residency sponsorship
Strong verbal and written communication skills
Strong attention to detail; organizational and time management skills
Proven ability to maintain discretion and confidentiality
Demonstrated ability to apply critical thinking skills and problem solve through difficult situations
Experience establishing and maintaining key relationships internally and externally, at all levels of an organization
Ability to establish rapport and effectively influence and/or present information to a wide variety of audiences
Preferred
Healthcare, Pharmacy Benefit Management (PBM) or other managed care work experience
Master's degree or other advanced education in Business, Healthcare, Political Science, Legal, or related area of study
Certified Information Privacy Professional (CIPP), Certified Information Privacy Technologist (CIPT) or Certified Information Privacy Manager (CIPM) certifications from International Association of Privacy Professionals (IAPP)
Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
Project management experience and/or Project Management Professional (PMP) certification
Company
Prime Therapeutics
Prime Therapeutics is a trusted pharmacy solutions partner delivering savings, simplicity & support to our customers and members
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mostafa Kamal
President & Chief Executive Officer
Kenneth Bodmer
Chief Financial Officer
Recent News
2025-10-31
Company data provided by crunchbase