Must have extensive experience with Medicare or Medicaid!
For over three decades, this respected NYC-based health plan has been committed to improving the health and well-being of New Yorkers. By fostering strong relationships with members and providers, they deliver high-quality healthcare services across all five boroughs—Bronx, Brooklyn, Manhattan, Queens, and Staten Island.
They offer a broad portfolio of products and are recognized for their deep community roots, commitment to compliance, and collaborative culture.
Job Opportunity: Federal & Integrated Products Materials Reviewer
Department: Compliance & Regulatory Operations
Reports to: Regulatory Operations Manager
Salary: Up to $75,000 annually, plus generous benefits including a pension plan
Location: Mostly remote, with occasional on-site meetings in NYC
Are you passionate about regulatory excellence and health plan compliance? Do you thrive in a detail-oriented, collaborative environment? We’re seeking a Materials Reviewer to join our Compliance team and support the regulatory review and oversight of all marketing and member-facing materials for Medicare and Integrated health products.
Key Responsibilities:
Review and analyze Medicare and MAP marketing materials—including flyers, brochures, texts, and formal notices—for compliance with CMS guidelines
Ensure accuracy and clarity of all beneficiary- and provider-facing communications
Coordinate submissions and approvals via the Health Plan Management System (HPMS)
Stay current with CMS regulations and serve as a resource for internal stakeholders
Partner with Product, Marketing, and Operations teams to support material development, especially during the Annual Enrollment Period (AEP)
Maintain comprehensive records of materials, inquiries, and approvals in SharePoint
Assign and track final material codes, ensuring CMS and internal compliance
Provide input and support on additional compliance-related projects as assigned
Qualifications:
Bachelor’s Degree required
5+ years in managed care, with a focus on Medicare and/or integrated products
Strong knowledge of CMS marketing regulations and submission processes
Experience reviewing and preparing CMS marketing materials
Skilled in managing multiple projects and meeting tight deadlines
Proficient in Microsoft Office (Excel, Word, PowerPoint, SharePoint)
Strong communication and collaboration skills
High attention to detail and accuracy
#ZR
RCM Health Care Services
You must sign in to apply for this position.