Lead Business/Compliance Consultant, Pharmacy BIO Job in Pasadena, California US
Lead Business/Compliance Consultant, Pharmacy BIO
We're looking for big ideas-6.9 petabytes is a good start. That's how much data we manage and store in Information Technology at Kaiser Permanente-more than the Library of Congress can claim. We're home to some other big ideas, like creating KP HealthConnect®, the nation's largest electronic medical record system. Using social media and text messaging to help members engage in their own care. And developing predictive modeling tools that anticipate health issues before they're an issue. It's the kind of thinking that's shaping the future of technology, health care, and the lives of all 8.6 million of our members. If you're ready to contribute your own big ideas, join us. Lead Business Analyst, Lead Compliance Analyst Duties and Responsibilities: Design and Monitors compliance (SOX, HIPAA, and PCI) activities of assigned area(s), typically of the largest and most complex nature, to ensure compliance with applicable internal policies and procedures and external regulations, including monthly, quarterly and annual account and activity reviews. Review and analyze compliance monitoring reports and other related source documents for suspicious/unusual patterns of activity. Follow-up with responsible area for explanations and discussions for appropriate action. Provide support to assigned areas on compliance-related issues and form review for compliance with applicable regulations. Participate in compliance reviews, projects and training efforts; act on behalf of senior management, as required. Provide mentoring and guidance to less experienced compliance personnel on regulatory matters, as appropriate. Promote an environment that supports diversity and reflects the Kaiser Permanente brand. Discharge the accountabilities set out in the KP Policies and Procedures by proactively assisting management in identifying and containing compliance risk, monitoring, reporting and certification, fostering a compliance culture. Apply compliance; internal and operational risk controls in accordance with Kaiser Permanente or regulatory standards and policies; report issues and operational loss events. Abide by human resources and other KP policies in support of our ethical and respectful work environment. Complete other responsibilities, as assigned. Decision-Making The position makes decisions regarding implementation of existing compliance policies and procedures to satisfy regulatory requirements and Group compliance policies affecting assigned businesses and makes recommendations for changes in policies and procedures. The position monitors the activities of the assigned businesses on a risk-based approach to identify higher compliance risks and assist business in remedial solutions. Decisions beyond assigned authority are referred to higher management for approval. Additional Information Primary focus is to ensure ongoing compliance with Sarbanes-Oxley, HIPAA, and PCI rules and other applicable regulations by conducting reviews, monitoring critical activities and providing compliance support. The position addresses compliance matters in daily activities to ensure regulatory requirements and operating practices are followed in assigned areas. While ultimate authority for more complex compliance risk management and policy decisions rest with higher management, the position will participate in the management of day to day compliance risk and make recommendations to higher management on enhancement and solutions. Many of the businesses supported entail a high degree of regulatory compliance and reputational risk, particularly with respect to risks arising out of non-compliance with extensive and complex regulations. Failure to comply with these regulations would have significant negative effects on relations with regulators, the reputation of Kaiser Permanente with the constituents may result in regulatory impediments to significant regulatory sanctions, including regulatory fines of material amounts. The position routinely interacts with management for assigned businesses, regional and local compliance functions, peers throughout the organization and examination officials conducting regulatory examinations. Requirements