Medicare Marketing Compliance Specialist

Jobtailor

Deutschland

Remote

EUR 56.000 - 78.000

Vollzeit

Vor 8 Tagen
Bewerbungsgenerator

Verschicke keinen generischen Lebenslauf — erstelle einen Lebenslauf und ein Anschreiben, die genau auf diese Rolle zugeschnitten sind.

Schaffe es an den ATS-Filtern vorbei

Zusammenfassung

Jobtailor is seeking a Compliance & QA Supervisor to manage CMS regulatory compliance for Medicare marketing materials and to oversee the approval lifecycle across multiple carriers. You will coordinate with Sales, Platform, and cross-functional teams to ensure audit-ready documentation and timely submissions.

Key responsibilities include maintaining a centralized marketing repository, conducting vendor audits, and producing KPI reports for leadership and carrier partners.

Qualifikationen

  • Strong understanding of, or a keen willingness to master, CMS regulations, particularly the Medicare Communications and Marketing Guidelines (MCMG)
  • Exceptional attention to detail with excellent organizational and time-management skills
  • Ability to manage a high volume of detailed tasks and deadlines in a fast-paced environment
  • Strong verbal and written communication skills, with the ability to convey compliance feedback clearly and professionally
  • Proficiency with Google Workspace and the ability to quickly learn and master new workflow management tools (e.g., Airtable)
  • A proactive and analytical mindset with the ability to identify issues, find solutions, and contribute to process improvements
  • U.S. work authorization/employment eligibility verified through E-Verify
  • All work must be conducted from an approved location within the U.S.

Aufgaben

  • Receive and log all marketing and communication materials from downline agencies, verifying completeness and tagging the associated agency and lead vendor
  • Independently review telephonic marketing materials and standalone sales scripts against CMS Medicare Communications and Marketing Guidelines and internal standards
  • Make final approve/reject determinations and elevate novel or high-risk interpretive questions
  • Prepare and submit approved materials and scripts to 6–7 health plan carriers and track submission status
  • Maintain the central marketing repository and accurately link agencies, vendors, materials, and approvals
  • Request, track, and log carrier-assigned SMIDs for approved materials for audit purposes
  • Own the approved lead vendor list and lead annual vendor audits for CMS compliance
  • Produce program KPIs and metrics for leadership and carrier partners, including submission volumes, turnaround times, and approval rates
  • Participate in cross-functional meetings with Sales, Platform, and other teams
  • Assist with special audits, escalations, and AEP-driven work as needed
  • Report to the Compliance & QA Supervisor

Kenntnisse

CMS Regulations Mastery
Attention To Detail
Time Management
Verbal & Written Communication
Google Workspace
Analytical Mindset
Proactive Problem Solving
US Work Authorization

Tools

Google Workspace
Airtable

Jobbeschreibung

  • Receive and log all marketing and communication materials from downline agencies, verifying completeness and tagging the associated agency and lead vendor
  • Independently review telephonic marketing materials and standalone sales scripts against CMS Medicare Communications and Marketing Guidelines and internal standards
  • Make final approve/reject determinations and elevate novel or high-risk interpretive questions
  • Prepare and submit approved materials and scripts to 6–7 health plan carriers and track submission status
  • Maintain the central marketing repository and accurately link agencies, vendors, materials, and approvals
  • Request, track, and log carrier-assigned SMIDs for approved materials for audit purposes
  • Own the approved lead vendor list and lead annual vendor audits for CMS compliance
  • Produce program KPIs and metrics for leadership and carrier partners, including submission volumes, turnaround times, and approval rates
  • Participate in cross-functional meetings with Sales, Platform, and other teams
  • Assist with special audits, escalations, and AEP-driven work as needed
  • Report to the Compliance & QA Supervisor
Requirements
  • Strong understanding of, or a keen willingness to master, CMS regulations, particularly the Medicare Communications and Marketing Guidelines (MCMG)
  • Exceptional attention to detail with excellent organizational and time-management skills
  • Ability to manage a high volume of detailed tasks and deadlines in a fast-paced environment
  • Strong verbal and written communication skills, with the ability to convey compliance feedback clearly and professionally
  • Proficiency with Google Workspace and the ability to quickly learn and master new workflow management tools (e.g., Airtable)
  • A proactive and analytical mindset with the ability to identify issues, find solutions, and contribute to process improvements
  • U.S. work authorization/employment eligibility verified through E-Verify
  • All work must be conducted from an approved location within the U.S.
Core Competencies

Demonstrates a strong understanding of CMS regulations, particularly the Medicare Communications and Marketing Guidelines, while effectively managing detailed tasks and deadlines in a fast-paced environment. Proficient in utilizing Google Workspace and workflow management tools to enhance compliance and operational efficiency.

Highest-signal resume keywords
  • CMS Regulations Mastery
  • Attention To Detail
  • Verbal And Written Communication
  • Google Workspace Proficiency
  • Analytical Mindset
Soft Skills
  • Organizational Skills
  • Time-Management Skills
  • Proactive Problem Solving
Industry Keywords
  • Medicare Communications And Marketing Guidelines
  • Compliance
  • Vendor Audits
  • Marketing Repository
  • Submission Tracking
  • KPI Production
Tools & Technologies
  • Google Workspace
  • Airtable
Hol dir deinen kostenlosen, vertraulichen Lebenslauf-Check.
oder ziehe deine Datei hierhin.
Similar jobs

Ähnliche Jobs, die dir auch gefallen könnten

Senior Compliance Analyst
Senior Compliance Analyst

Jobtailor • Deutschland

Hybrid
EUR 60.000 - 90.000
Manager, Eligibility & Enrollment
Manager, Eligibility & Enrollment

Jobtailor • Deutschland

Remote
EUR 60.000 - 95.000
Supervisor, Adherence
Supervisor, Adherence

Jobtailor • Deutschland

Remote
EUR 52.000 - 86.000
Account Service Analyst
Account Service Analyst

Jobtailor • Deutschland

Remote
EUR 48.000 - 64.000
Medical Director – Pharmacy Appeals
Medical Director – Pharmacy Appeals

Jobtailor • Deutschland

Hybrid
EUR 120.000 - 180.000
Assistant Director of Key Accounts
Assistant Director of Key Accounts

Jobtailor • Deutschland

Hybrid
EUR 42.000 - 65.000
Seasonal Supervisor
Seasonal Supervisor

Jobtailor • Deutschland

Remote
EUR 70.000 - 110.000
Licensed Healthcare Sales Agent
Licensed Healthcare Sales Agent

Jobtailor • Deutschland

Remote
EUR 36.000 - 58.000
Senior Provider Education Consultant – IRF RCD
Senior Provider Education Consultant – IRF RCD

Jobtailor • Deutschland

Vor Ort
EUR 55.000 - 75.000
Healthcare Call Center
Healthcare Call Center

Jobtailor • Deutschland

Remote
EUR 28.000 - 42.000