Compliance officer [h1.location_city]

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 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 checked at https : / / speedtest.net)

Please review Remote Worker FAQs (https : / / secure.wpsic.com / files / remote-work-faqs.pdf) 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 insurance, dental insurance, and telehealth services start DAY 1

Professional and Leadership Development Programs

Review additional benefits : ( https : / / www.wpshealthsolutions.com / careers / fulltime_benefits.shtml )

Who We Are

WPS, a health solutions company, (https : / / www.wpshealthsolutions.com / about / index.shtml) is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program 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 (https : / / www.wpshealthsolutions.com / 75 / ) . 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.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace : WPS Newsroom - Awards and Recognition. (https : / / www.wpshealthsolutions.com / news / ?c=awards)

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Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https : / / www.eeoc.gov / poster) notice from the Department of Labor.