Regulatory Compliance Attorney jobs in United States
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WPS—A health solutions company · 2 months ago

Regulatory Compliance Attorney

WPS is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. The Regulatory Compliance Attorney supports the WPS Health Plan division by providing legal advice on regulatory matters affecting health insurance products and ensuring compliance with state and federal laws.

GovernmentHealth CareHealth Insurance

Responsibilities

Conduct in-depth legal research on state and federal insurance laws and regulations related to health insurance products, including ACA, HIPAA, ERISA, and Medicare programs. Analyze how laws impact WPS Health Plan operations
Identify legal and regulatory compliance risks affecting WPS Health Plan products and operations. Develop legal strategies and recommendations to mitigate these risks
Provide legal counsel and compliance guidance to internal stakeholders, including actuarial, underwriting, sales, and operations teams. Advise on privacy and data security issues, marketing materials, and new business initiatives
Communicate with and represent WPS before regulatory agencies, trade associations, and other external bodies. Defend the company’s position during negotiations and compliance-related interactions
Review insurance certificates, plan documents, and policy materials for compliance with applicable laws. Ensure marketing and promotional materials meet regulatory requirements
Respond to formal complaints, support RFP responses, and assist with internal or external audits related to Health Plan regulatory matters
Support and assist the Managing Regulatory Compliance Attorney in leading the Regulatory Services team. Participate in corporate projects, grievance/appeals committee activities, and cross-functional legal initiatives

Qualification

Juris Doctor (JD)Health care regulatory lawWisconsin insurance regulationsAffordable Care Act (ACA)Analytical skillsResearch skillsCommunication skillsNegotiation skills

Required

Juris Doctor (JD) degree from an accredited law school
Active membership in the State Bar of Wisconsin in good standing, required upon hire
5 or more years of legal experience with 3 or more years focused on health care regulatory law
Strong knowledge of Wisconsin insurance regulations and the Affordable Care Act (ACA)
Strong analytical and research skills
Excellent communication and negotiation skills
High speed cable or fiber internet
Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection

Benefits

Remote and hybrid work options available
Performance bonus and/or merit increase opportunities
401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
Competitive paid time off
Health insurance, dental insurance, and telehealth services start DAY 1
Professional and Leadership Development Programs

Company

WPS—A health solutions company

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WPS, a health solutions company, is an independent, not-for-profit, local company based in Madison, Wisconsin.

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
HealthX Ventures
2025-10-20Series Unknown

Leadership Team

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Frank Gumina
Chief Legal & Governance Officer
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Rochelle Myers
Chief Growth Officer and Head of New Ventures
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Company data provided by crunchbase