Role Description We are seeking a Medicare Compliance & Advertising Filing Specialist to serve as the dedicated owner of our advertising compliance program—responsible for the end-to-end review, submission, and lifecycle management of all Medicare advertising materials filed with carriers and CMS. This is not a generalist compliance role. It is a specialized position built around the operational and regulatory demands of Medicare advertising. • Own all Medicare advertising submissions through the CMS Health Plan Management System (HPMS), including file & use and prior approval filings for MA, MAPD, and PDP materials. • Submit and manage advertising materials through each contracted carrier’s co-op advertising portal or designated advertising review process. • Track every filing from initial submission through final disposition—maintaining records of submission dates, carrier/CMS response dates, approval status, objections received, corrections made, and final approval confirmation. • Respond to carrier and CMS objections promptly, coordinating corrected materials with internal staff and resubmitting within required timeframes. • Monitor HPMS filing calendars, carrier advertising deadlines, and material expiration dates; initiate renewals and withdrawals proactively. • Maintain a master advertising filing log covering all active, pending, approved, expired, and withdrawn materials across all carriers and plan types. • Review all agency-produced advertising content against CMS Medicare Marketing Guidelines (MMG) before submission. • Identify non-compliant content and direct corrections before any material is filed or published. • Apply and verify all required disclaimers, co-branding requirements, and plan-specific benefit disclosure standards. • Review other insurance advertising for compliance with applicable NAIC model standards and state-specific advertising regulations. • Serve as the final compliance sign-off before any advertising asset is submitted to a carrier or CMS, or released for publication. • Monitor CMS HPMS memos, Annual Marketing Review releases, and Medicare Marketing Guideline updates throughout the plan year. • Maintain an up-to-date reference library of advertising guidelines, required disclaimers, approved language, and plan-specific advertising rules for each contracted carrier. • Advise producers and agency leadership on what advertising content is and is not permissible under current CMS rules and carrier requirements. • Support the agency’s response to carrier compliance audits, CMS oversight inquiries, and state Department of Insurance advertising reviews. • Develop and maintain written SOPs for the advertising material lifecycle. • Build and maintain filing documentation that would satisfy a carrier audit or CMS review at any point in the year. • Report advertising compliance activity, filing volumes, approval rates, and outstanding items to agency leadership on a regular basis. • Identify recurring content errors or process gaps and recommend corrections to prevent compliance exposure. Qualifications • 3+ years of direct, hands-on experience submitting Medicare advertising materials through HPMS (file & use and/or prior approval) — required. • 3+ years of experience submitting materials through carrier co-op advertising portals for MA, MAPD, and/or PDP plans — required. • Proven ability to review consumer-facing Medicare advertising across multiple media types for CMS MMG compliance before submission. • Working knowledge of TPMO disclaimer requirements, co-branding rules, SOA requirements, and required plan benefit disclosures. • Experience resolving carrier and CMS advertising objections and managing resubmission processes. • Strong organizational and tracking skills; ability to manage high filing volumes across multiple carriers simultaneously. • Bachelor’s degree in healthcare administration, business, communications, marketing, or equivalent professional experience. Requirements • Certified in Healthcare Compliance (CHC) or actively pursuing certification (preferred). • Active health insurance producer license (or willingness to obtain) (preferred). • Prior experience in an agency, brokerage, FMO, TPMO or similar advertising compliance or operations role (preferred). • Experience with Medicare Supplement advertising under NAIC model standards and state-level requirements (preferred). • Familiarity with TCPA, CAN-SPAM, and state telemarketing rules as applied to Medicare marketing (preferred). • Experience building or maintaining compliance tracking systems or document management workflows (preferred). • Familiarity with FWA training requirements and annual certification obligations for Medicare producers (preferred). Benefits • Paid Time Off. • Paid Company Holidays. • Medical, Dental, Vision, Life Insurance, HSA, FSA, and more. • 401 (K) savings plan with company matching up to 3%. • Work-Life Resources for you and your family. • Discounts with Hotels, Rental Cars, Entertainment, Attractions, & More! • Maternity/Paternity/Adoption paid leave. • Referral program. • Company-supplied computer equipment. Apply tot his job Apply To this Job
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