Gravie

Hi, we're Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.A Little More About the role:We are seeking a talented and highly motivated Healthcare Product and Regulatory Attorney to join our growing Legal and Compliance team. This role will provide critical legal and regulatory guidance to support Gravie's health plan operations, benefit design, product development, and overall business strategy.The ideal candidate will have a strong background in federal and state health care laws and regulations applicable to health plans (e.g., self-funded, fully insured, and level-funded) and experience helping healthcare organizations operate compliantly while pursuing innovation.This is a unique opportunity to contribute to a company that is truly transforming the healthcare experience. Reporting to the General Counsel, the Healthcare Product and Regulatory Attorney will provide strategic legal and compliance advice across Gravie's product portfolio, including level-funded group health plans and ICHRA individual marketplace solutions.You will Regulatory Analysis and Guidance: 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. This includes, but is not limited to, HIPAA, ERISA, ACA, COBRA, No Surprises Act, transparency laws, mental health parity (MHPAEA), and state insurance regulations. Regulatory Analysis and Guidance: Monitor and analyze new legislative, regulatory, and sub-regulatory guidance from relevant federal (e.g., HHS, DOL, IRS) and state agencies. Regulatory Analysis and Guidance: Translate complex regulatory requirements into clear, actionable advice for product, operations, sales, and executive teams. Regulatory Analysis and Guidance: Support compliance efforts related to licensing, market conduct, and state-specific mandates for health plan products. Health Plan Operations and Benefit Design Support: 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. Health Plan Operations and Benefit Design Support: Provide regulatory input on benefit structure, coverage limitations, medical management programs (e.g., prior authorization, utilization review), and appeals processes. Health Plan Operations and Benefit Design Support: Collaborate with the Operations team on compliance issues related to claims processing, eligibility, enrollment, and member services. Health Plan Operations and Benefit Design Support: Assist in the legal review of marketing materials and member communications related to health plan benefits. Product Development and Strategy: Serve as a key legal advisor on the development and launch of new health plan products and features. Product Development and Strategy: Identify and mitigate regulatory risks associated with new initiatives and market expansions. Product Development and Strategy: Collaborate with product and engineering teams to ensure compliance is built into the product design from the outset. General Legal Support: Assist in responding to regulatory inquiries, examinations, and investigations. General Legal Support: Develop and deliver internal training on relevant legal and regulatory topics. General Legal Support: Manage outside counsel relationships as needed for specialized regulatory matters.You bring 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.Extra credit Previous experience in a high growth environment Experience with legal operations and the integration of artificial intelligence tools into in-house legal practice Experience with stop loss captivesGravieIn order to create a more equitable and sustainable future for employer-sponsored health insurance, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package.The salary range for this position is $215,000 - $245,000 annually. Numerous factors including, but not limited to, education, skills, work experience, certifications, etc. will be considered when determining compensation. In addition to base salary, this position is also eligible to participate in Gravie's annual bonus program. Stock options may also be awarded as part of the compensation package.Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie's package includes alternative medicine coverage, generous PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and paid paw-ternity leave.A Little More About Us We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space. We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized. Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% - nearly 40 points above the industry average. Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self - we like you that way.