Regulatory Compliance Attorney

WPS Health Solutions • Madison, WI • 3h ago

JOB REQUIREMENTS: Description Role Snapshot The Regulatory Compliance Attorney supports the WPS Health Plan division by providing legal advice on regulatory matters affecting various health insurance products. This role ensures compliance with state and federal laws, including ACA, HIPAA, and ERISA, and advises leadership on legal risks and regulatory developments. The position reports to the Managing Regulatory Compliance Attorney. Salary Range \$100,000 - \$120,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this new employee live in the Greater Madison, WI area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work in the office 2 days a week. Secondary priority will be given to remote candidates in WI, IL, MN, or IA. If not regionally local to Madison, WI, frequent monthly travel to our WPS Headquarters will be expected. How do I know this opportunity is right for me? In this role you will: 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. Minimum Qualifications 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... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. *\ APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/9DFFB3E004B54E59 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.

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