Associate General Counsel – Healthcare Product and Regulatory
Gravie
full-time
Posted on:
Location Type: Hybrid
Location: Minneapolis • Minnesota • United States
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Salary
💰 $215,000 - $245,000 per year
About the role
- Provide timely, accurate, and practical legal advice on complex state and federal healthcare laws and regulations impacting Gravie’s health plan operations, benefit offerings, and business activities.
- Monitor and analyze new legislative, regulatory, and sub-regulatory guidance from relevant federal (e.g., HHS, DOL, IRS) and state agencies.
- Translate complex regulatory requirements into clear, actionable advice for product, operations, sales, and executive teams.
- Support compliance efforts related to licensing, market conduct, and state-specific mandates for health plan products.
- Review and advise on health plan documents, including Summary Plan Descriptions (SPDs), Certificates of Coverage (COCs), plan amendments, member contracts, and related materials to ensure regulatory compliance.
- Provide regulatory input on benefit structure, coverage limitations, medical management programs (e.g., prior authorization, utilization review), and appeals processes.
- Collaborate with the Operations team on compliance issues related to claims processing, eligibility, enrollment, and member services.
- Assist in the legal review of marketing materials and member communications related to health plan benefits.
- Serve as a key legal advisor on the development and launch of new health plan products and features.
- Identify and mitigate regulatory risks associated with new initiatives and market expansions.
- Collaborate with product and engineering teams to ensure compliance is built into the product design from the outset.
- Assist in responding to regulatory inquiries, examinations, and investigations.
- Develop and deliver internal training on relevant legal and regulatory topics.
- Manage outside counsel relationships as needed for specialized regulatory matters.
Requirements
- Juris Doctor (J.D.) degree from an accredited law school.
- Active membership in good standing of at least one state bar (and eligible to register as in-house counsel, if applicable).
- 5+ years of experience practicing law, with significant experience advising clients on health plan regulatory matters (in-house health plan experience, government experience, or experience at a law firm serving health plan clients preferred).
- Deep knowledge of federal laws governing health plans, including ERISA, ACA, HIPAA (including privacy, security, and transactions), No Surprises Act, and MHPAEA.
- Familiarity with state insurance laws and regulations applicable to fully insured and/or self-funded health plans.
- Excellent written and verbal communication skills, with the ability to clearly and concisely explain complex legal issues to non-lawyers.
- Strong analytical, problem-solving, and decision-making skills.
- Ability to work independently, manage multiple priorities in a fast-paced environment, and meet deadlines.
- High level of professionalism, integrity, and ethical conduct.
Benefits
- alternative medicine coverage
- generous PTO
- up to 16 weeks paid parental leave
- paid holidays
- a 401k program
- transportation perks
- education reimbursement
- paid paw-ternity leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Juris Doctor (J.D.)health plan regulatory mattersERISAACAHIPAANo Surprises ActMHPAEAstate insurance lawsregulatory compliancelegal review
Soft Skills
written communicationverbal communicationanalytical skillsproblem-solvingdecision-makingindependencetime managementprofessionalismintegrityethical conduct
Certifications
active state bar membership