Federal & Integrated Products Materials Reviewer NYC

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Requirements:

• Bachelor’s Degree required.
• 5 years’ of Managed Care experience, with a focus on Medicare and Integrated Programs required.
• Experience with Medicare and CMS Regulations required.
• Experience with the creation, submission and approval of CMS marketing materials.
• Experience managing multiple requests and keeping track of incoming requests and tracking deadlines.
• Proficiency in Microsoft Suite, including SharePoint.

Responsibilities:

• Conducts detailed review of member and prospective member communications against CMS regulations to ensure compliance and provides professional feedback to material owners
• Analyze all Medicare and MAP related marketing materials for compliance with CMS Marketing guidelines
• Submit all needed materials to CMS for review and approval via HPMS
• Maintain up-to-date knowledge of all Centers of Medicare & Medicaid (CMS) regulations
• Collaborate with the Product team to ensure the accuracy of benefit information and clarity of language
• Partner with operational business units to support the creation, submission, and approval of marketing materials during the Annual Enrollment Period (AEP)
• Collaborate closely with the Regulatory Materials Reviewer on communications related to IB-Duals Group and MAP.
• Assist in maintaining a comprehensive repository of all material reviews, including documentation of review and inquiry responses within the SharePoint site, and saving copies of all relevant documents and communications.
• Assign final codes to all materials reviewed and approved internally and externally by CMS.
• Other duties and responsibilities as assigned by the Regulatory Operations Manager.