Health Information Management and Privacy Manager - Group Health Cooperative of South Central Wisconsin - Madison, WI

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER

The Health Information Management (HIM) and Privacy Manager position is responsible for actively assuring that the organization and its employees adhere to GHC-SCW policies and procedures governing protected health information (PHI) in compliance with federal and state laws. The HIM and Privacy Manager is responsible for fostering and facilitating quality and process improvements on an ongoing basis, while ensuring an effective and customer driven Health Information Management Team. The position is responsible for communicating with the Epic Care Team to ensure that issues are adequately addressed. The HIM and Privacy Manager supervises the Health Information Management Team and is responsible for providing daily operational and problem-solving support on routine and complex issues that arise, and for monitoring progress on ongoing assignments and projects. The HIM and Privacy Manager acts as GHC-SCW’s Privacy Officer. Work is performed under the general guidance, direction, and supervision of the Corporate Compliance Officer.

The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission , Vision and Common Values (stated below) and is committed to promote these values in behavior and attitude.

Our Mission Statement: To provide accessible, comprehensive, high quality healthcare and outstanding service in an efficient and personalized manner on a prepaid basis to persons in the GHC-SCW service area.
Our Vision: To be a leader among HMO’s in providing high-quality medical care, impeccable service and competitive benefit levels and premium rates.

Our Common Values:
Patient Centered: When health insurers and health care providers are brought together under one roof, we are better together. Our care team model focuses on supporting the needs of our patients/members and providing the best in safe, high quality coordinated health care. Members and their providers participate in making meaningful decisions that lead to better outcomes. Quality Driven: When members and their providers each participate meaningfully in the decisions that lead to better health care, we are better together. GHC-SCW continues its tradition of providing proactive health promotion and disease management outreach to our members to consistently achieve high quality health care accreditation. Innovation: When we work to lift each other up, show appreciation and collaborate in the best interests of the member, we are better together. GHC-SCW has made innovative advancements which include the implementation of an electronic medical records system (EMR) and GHC-SCW MyChartSM, access to innovative Complementary Medicine benefits and Wellness reimbursement services. Community Involved: When we join with our community to further the causes for which we share a common concern, we are better together. We are proud to promote programs that strengthen lives, and make our community a safer, stronger and healthier place to live and grow. GHC-SCW employees share their time and talent; and we recognize that the value of what we give is also what we gain – for our employees, our members and our community. Not for Profit Cooperative: When we share a common purpose, a common voice and a common vision, we are better together. We use our surpluses to improve clinics, enhance health care benefits and give back to the community. Our members, not our profits, are our priority. We have a unique “cooperative” governance structure which works directly for our members. GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.

We believe:
Healthcare is a human right.
In treating all people with dignity and respect.
There is strength in diversity.
Equity celebrates our humanity.
We are better together.
1. A bachelor’s degree from an accredited school in health care or business administration or equivalent combination of education and experience. Advanced training with HIPAA privacy and confidentiality practices is desirable.
2. Three (3) to five (5) years of progressively responsible experience in the health information records field is required. Two (2) to three (3) years of management/leadership experience is preferred.
3. Certification as a Registered Health Information Administrator or Registered Health Information Technician is required.
4. Ability to travel to various work sites is required. Employee is expected to provide personal transportation. Possession of a valid Wisconsin driver license is required, if the employee is operating a motor vehicle.
5. Experience working with confidential materials and release of information laws is required. A strong working knowledge of medical records functions is required.
6. Familiarity with numerical filing systems is required.
7. Knowledge of federal and state laws pertaining to medical records.
8. Knowledge of and the ability to use MS Office Suite, understand of electronic medical records and the ability to be proactive and involved in new e-technology and/or enhancements to current technology as they relate to health care privacy
9. Knowledge of or ability to learn and use electronic medical record systems such as EPIC systems software including EPIC Care is required.
10. Ability to maintain current knowledge of applicable state and federal privacy laws and monitor advancements in privacy technology is required.
11. Ability to identify forms, standard and nonstandard, and their appropriateness for inclusion in the Electronic Medical Record (EMR) is required.
12. Demonstrated ability to lead, develop and administer health information privacy training programs for a large health care organization.
13. Demonstrated excellent verbal and written communication skills to a variety of audiences and professional disciplines, including strong skills in the areas of organization, presentation, and facilitation.
14. Ability to use a PC, scanner, fax machine, and telephone, and ability to learn and perform routine maintenance and adjust setting on the scanning equipment is required.
15. Knowledge of various computer programs such as MS Office Suite, email, calendar, spreadsheets, and word processing is required.
16. Excellent leadership skills are required. Ability to provide guidance, direction, and supervision to subordinate staff is required.
17. Good organizational skills are required. Ability to effectively manage and administer multiple functional areas and projects is required.
18. Ability to ensure that the daily work of the department is completed is required.
19. Ability to provide training and mentorship to staff is required.
20. Accuracy and attention to detail is required. Ability to concentrate and maintain accuracy in spite of frequent interruptions.
21. Ability to recognize, identify, and report problems is required.
22. Ability to interpret, explain and effectively handle employee concerns and problems is required.
23. Ability to analyze department workflows, create productivity reports, and do time studies is required.
24. Ability to cope with rapidly changing demands for records (fast-paced work environment) is required. Ability to work under pressure and with time restraints.
25. Excellent customer service skills are required. Ability to be culturally sensitive and work with a diverse population.
26. Ability to communicate with courtesy and tact in dealing with others is required. Knowledge of proper business conduct and protocol is required.
27. Ability to represent Health Information department at EPIC Care meetings and communicate issues is required.
28. Ability to be flexible and a team player is required
29. Excellent oral and written communication skills are required. Ability to interact with staff at all levels.
30. Fine manual dexterity is required.
31. Ability to work while standing or walking for extended periods of time is required.
32. Ability to climb, stoop, kneel, crouch and/or handle materials is required.
33. Ability to bend, reach, lift, pull and/or carry up to 10 pounds is required.

Group Health Cooperative of South Central Wisconsin is proud to be an equal opportunity employer. GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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