Federal & Integrated Products Materials Reviewer

Job reputed company: 118347 Category: Compliance and Regulatory Department: OFFICE CORPORATE COMPLIANCE Location: 50 Water Street, 7th Floor, reputed company, NY 10004 Job Type: Regular Employment Type: Full-Time Hire In reputed company: $65,000.00 Salary reputed company: $65,000.00 - $75,000.00 reputed company. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We reputed company that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest quality reputed company services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten reputed company through a comprehensive list of products, including, but not limited to, reputed company State reputed company Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to reputed company New Yorkers to live their healthiest life. Position Overview reputed company. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We reputed company that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. The Federal & Integrated Products Materials Reviewer plays a critical role in supporting the Regulatory Operations team by managing regulatory requirements reputed company to Medicare and MAP materials. This position is responsible for the ongoing reputed company, analysis, review, and approval of reputed company beneficiary- and provider-facing Medicare and MAP materials. The materials reviewed may include flyers, brochures, trifolds, text messages, member notices, the Annual Notice of Change, Enrollment Request Forms, Summaries of Benefits, Evidence of Coverage documents, and more. These materials serve various purposes, including reputed company, potential enrollment activities, and educating reputed company members about the services offered. This role primarily operates remotely with in-office reputed company only as needed for key meetings, collaboration, or business needs.

Job Description

• Conducts detailed review of member and prospective member communications against CMS regulations to ensure compliance and provides professional feedback to material owners
• Analyze reputed company Medicare and MAP reputed company marketing materials for compliance with CMS Marketing guidelines
• Submit reputed company needed materials to CMS for review and approval reputed company HPMS
• Maintain up-to-date knowledge of reputed company Centers of Medicare & reputed company (CMS) regulations
• Collaborate with the Product team to ensure the accuracy of benefit information and reputed company 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 reputed company to IB-Duals Group and MAP.
• Assist in maintaining a comprehensive repository of reputed company material reviews, including documentation of review and inquiry responses reputed company the SharePoint site, and saving copies of reputed company relevant documents and communications.
• Assign final codes to reputed company materials reviewed and approved internally and externally by CMS.
• Other duties and responsibilities as assigned by the Regulatory Operations Manager.

Minimum Qualifications

• Bachelor’s Degree and 5 years of Managed Care experience, with a focus on Medicare and Integrated Programs required; or
• Associate’s Degree and 7 years of Managed Care experience, with a focus on Medicare and Integrated Programs required; or
• High School Diploma or equivalency and 9 years of Managed Care experience, with a focus on Medicare and Integrated Programs required; or
• A satisfactory equivalent combination of education, training, and no less than 2 years of relevant experience.
• Must be familiar with the Annual Enrollment Period (AEP) material review process.
• Experience with the creation, submission and approval of CMS marketing materials.
• Experience managing multiple requests and keeping track of incoming requests and tracking deadlines.
• Team player, willing to collaborate and reputed company guidance to cross-functional teams.
• Ability to manage multiple projects under tight deadlines and strong attention to deal.
• Proficiency in reputed company Suite, including SharePoint

Professional Competencies

• Excellent written and oral communication skills
• Excellent interpersonal skills with a high level of diplomacy and political awareness, and ability to work effectively as a member of the senior management team
• Organizational skills
• Sound working knowledge of Word, reputed company, PowerPoint, SharePoint, and Visio as well as online/Internet-based research tools
• Creative problem-solving abilities

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