WPS—A health solutions company
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 We prefer candidates who reside within 45 miles of Madison, WI, allowing hybrid work with two days a week in the office at 1717 W. Broadway in Madison, WI. Remote candidates in WI, IL, MN, or IA are considered secondary priority. Candidates not regionally local to Madison, WI will be required to travel frequently to WPS Headquarters.
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 and 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.
Five or more years of legal experience with at least three 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.
Remote Work Requirements
High‑speed cable or fiber internet.
Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be tested at https://speedtest.net).
Review Remote Worker FAQs for additional information.
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, dental, and telehealth services start day one.
Professional and Leadership Development Programs.
Review additional benefits at https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml.
Who We Are WPS is a health solutions company and a leading not‑for‑profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We offer health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for Medicare beneficiaries and manage benefits for millions of active‑duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years and is proud to be military and veteran ready.
Culture Drives Our Success WPS’ culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high‑performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
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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 We prefer candidates who reside within 45 miles of Madison, WI, allowing hybrid work with two days a week in the office at 1717 W. Broadway in Madison, WI. Remote candidates in WI, IL, MN, or IA are considered secondary priority. Candidates not regionally local to Madison, WI will be required to travel frequently to WPS Headquarters.
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 and 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.
Five or more years of legal experience with at least three 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.
Remote Work Requirements
High‑speed cable or fiber internet.
Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be tested at https://speedtest.net).
Review Remote Worker FAQs for additional information.
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, dental, and telehealth services start day one.
Professional and Leadership Development Programs.
Review additional benefits at https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml.
Who We Are WPS is a health solutions company and a leading not‑for‑profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We offer health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for Medicare beneficiaries and manage benefits for millions of active‑duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years and is proud to be military and veteran ready.
Culture Drives Our Success WPS’ culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high‑performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
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