Medicare Marketing Compliance Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Receive and document all marketing and communication materials from subordinate agencies, ensuring completeness and tagging the relevant agency and lead vendor.

• Conduct independent reviews of telephonic marketing materials and standalone sales scripts against CMS Medicare Communications and Marketing Guidelines as well as internal standards.

• Make final decisions on approvals or rejections and escalate any novel or high-risk interpretative queries.

• Prepare and submit the approved materials and scripts to 6–7 health plan carriers while tracking the submission status.

• Maintain the central marketing repository, accurately linking agencies, vendors, materials, and approvals.

• Request, track, and log carrier-assigned SMIDs for approved materials for auditing purposes.

• Manage the approved lead vendor list and lead annual vendor audits to ensure CMS compliance.

• Generate program KPIs and metrics for leadership and carrier partners, including submission volumes, turnaround times, and approval rates.

• Engage in cross-functional meetings with Sales, Platform, and other teams.

• Provide assistance with special audits, escalations, and AEP-driven work as required.

• Report directly to the Compliance & QA Supervisor.

⛳️ Requirements

• Strong understanding of, or a keen willingness to master, CMS regulations, especially the Medicare Communications and Marketing Guidelines (MCMG).

• Exceptional attention to detail along with excellent organizational and time-management skills.

• Capable of managing a high volume of detailed tasks and meeting deadlines in a fast-paced environment.

• Strong verbal and written communication skills, with the capability to convey compliance feedback clearly and professionally.

• Proficient in Google Workspace and able to quickly learn and master new workflow management tools (e.g., Airtable).

• A proactive and analytical mindset, with the ability to identify issues, propose solutions, and contribute to process improvements.

• U.S. work authorization/employment eligibility verified through E-Verify.

• All work must be performed from an approved location within the U.S.

🏝️ Benefits

• Equity compensation.

• Health care, including dental and vision through our PEO Sequoia.

• Flexible work location; co-working options available.

• 401k plan.

• Paid Time Off.

• Monthly Remote Work Stipend to help cover home-office expenses.

• Paid Parental Leave.

• Up to 14 weeks for birthing parents.

• Up to 8 weeks for non-birthing parents.

• 11 paid holidays.

• 2-week sabbatical after 5 years of employment.

• Wellbeing perks through SpringHealth, OneMedical, PerkSpot, and SoFi.

• Remote work opportunities.

• Company retreats.

• Sabbaticals.