Medicare Products Document Specialist

BCBST BlueCross BlueShield of Tennessee, Inc.; Chattanooga (TN); Remote; USD 65,000 - 95,000; Full time

Job summary

BlueCross BlueShield of Tennessee, Inc. is hiring a Medicare Products Document Specialist for the Medicare Marketing Materials & Support team.

You will ensure member communications are accurate, compliant, and delivered on time, managing annual mailings and CMS regulation interpretation. Collaborate with Product Strategy, Operations, Pharmacy, and Compliance while engaging external vendors and pursuing process improvements using AI tools.

Qualifications

• Background in Marketing, Communications, or Business with Medicare products and healthcare experience.
• Experience researching and interpreting CMS regulations.
• Strong research and written communication skills.
• Experience reviewing materials for compliance.

Responsibilities

• Manage end-to-end process for annual member mailings and deadlines.
• Liaise with Product Strategy, Operations, Pharmacy, and Compliance.
• Review CMS-related regulations and ensure compliance.
• Improve procedures for materials and regulatory documents; analyze issues and implement changes.

Skills

Medicare products knowledge

Communication skills

CMS regulations research

Vendor management

Detail-oriented

Education

Bachelor's Degree or equivalent

Tools

Microsoft Office

Job description

We are hiring a Medicare Products Document Specialist on our Medicare Marketing Materials & Support team! In this role, you will help ensure Medicare member communications and marketing materials are accurate, compliant, and delivered on time. You’ll manage the end-to-end process for annual member mailings, research and interpret CMS regulations, review materials for compliance, and partner across Product Strategy, Operations, Pharmacy, and Compliance. You’ll also communicate regularly with external vendors and help identify opportunities to improve processes, including creative ways AI can make day-to-day work more efficient. To be successful in this role, in addition to the core job requirements, you’ll be highly organized, detail-oriented, and comfortable managing multiple projects and deadlines.

Required Qualifications

• A background in Marketing, Communications, or Business Experience with Medicare products and the healthcare industry
• Experience researching and interpreting CMS regulations
• Strong research, written communication, and organizational skills
• Experience reviewing marketing or member materials for compliance
• Comfort communicating and building relationships with external vendors
• A creative, process-improvement mindset, including an interest in using AI to make day-to-day work more efficient

Note: This is a fully remote position. Sponsorship is not available for this role.

Job Responsibilities

• Managing the end-to-end process for the creation and fulfillment of the annual member mailing to ensure that benefit information is reflected accurately within the designated deadlines.
• Serving as department liaison with key functional groups to maintain open dialogue regarding plan design and administrative changes related to Product Strategy, Operations, Pharmacy, and Compliance.
• Reviewing and interpreting regulations that impact the company's Medicare plans; ensuring compliance with governing bodies.
• Implementing and improving procedures for handling plan materials and regulatory documents for members or potential customers; analyzing causes of difficulties and makes changes, as needed.

Job Qualifications

• Education Bachelor's Degree or equivalent work experience required.
• Equivalent experience is defined as 4 years of professional work experience in a corporate environment.
• Experience 5 years - Experience in the healthcare industry required.
• 3 years - Experience with Medicare products required.
• Skills\Certifications Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint).
• Must be a team player, be organized and have the ability to handle multiple projects.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.

Number of Openings Available 1

Worker Type: Employee

Company: BCBST BlueCross BlueShield of Tennessee, Inc.

Equal Employment Opportunity Statement

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices.

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity.

All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered.

No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.

At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability.

We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST.

We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members.

BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense.

If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.