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