Medicare Compliance & Advertising Filing Specialist

Position: Medicare Compliance & Advertising Filing SpecialistLocation: Remote – United StatesCompensation: Salary – Starting at $80K + Bonus About the RoleWe are a Medicare-focused insurance agency/brokerage licensed to sell Medicare Advantage(MA), Medicare Prescription Drug Plans (PDP), and Medicare Supplement (Medigap) products across multiple carriers. 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. The person we hire will spend the majority of their time working directly in HPMS and with carrier and other clients, reviewing advertorial material content against CMS Medicare Marketing Guidelines and other state and/or federal regulations as applicable, resolving objections, and maintaining the filing infrastructure that keeps MPA in good standing. If you have done this work, for an insurance agency or brokerage, FMO, or TPMO, lead generation, or other applicable setting, we want to talk to you. Key ResponsibilitiesAdvertising FilingsOwn all Medicare advertising submissions through the CMS Health Plan Management System (HPMS), including file & use and prior approval filings for MA, MAPD, and PDP materialsSubmit and manage advertising materials through each contracted carrier’s co-op advertising portal or designated advertising review processTrack 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 confirmationRespond to carrier and CMS objections promptly, coordinating corrected materials with internal staff and resubmitting within required timeframesMonitor HPMS filing calendars, carrier advertising deadlines, and material expiration dates; initiate renewals and withdrawals proactivelyMaintain a master advertising filing log covering all active, pending, approved, expired, and withdrawn materials across all carriers and plan typesAdvertising Content Review & Pre-Submission ComplianceReview all agency-produced advertising content against CMS Medicare Marketing Guidelines (MMG) before submission, including for example: direct mail pieces, print ads, digital display, paid social, email campaigns, radio/TV scripts, websites, landing pages, and sales event invitationsIdentify non-compliant content (e.g., misleading benefit representations, prohibited comparisons, unauthorized use of Medicare or government seals, impermissible inducements, missing required disclosures, etc.) and direct corrections before any material is filed or publishedApply and verify all required disclaimers, co-branding requirements, and plan-specific benefit disclosure standardsReview other insurance (e.g., Medicare Supplement) advertising for compliance with applicable NAIC model standards and state-specific advertising regulationsServe as the final compliance sign-off before any advertising asset is submitted to a carrier or CMS, or released for publicationRegulatory Monitoring & Internal GuidanceMonitor CMS HPMS memos, Annual Marketing Review releases, and Medicare Marketing Guideline updates throughout the plan year; translate changes into clear, actionable guidance for agency staff and producersMaintain an up-to-date reference library of advertising guidelines, required disclaimers, approved language, and plan-specific advertising rules for each contracted carrier (e.g., MA, MAPD, PDP, and Medicare Supplement)Advise producers and agency leadership on what advertising content is and is not permissible under current CMS rules and carrier requirementsSupport the agency’s response to carrier compliance audits, CMS oversight inquiries, and state Department of Insurance advertising reviewsPolicies, SOPs & Compliance RecordkeepingDevelop and maintain written SOPs for the advertising material lifecycle, from internal review through carrier/CMS submission, approval, publication, expiration, and withdrawalBuild and maintain filing documentation that would satisfy a carrier audit or CMS review at any point in the yearReport advertising compliance activity, filing volumes, approval rates, and outstanding items to agency leadership on a regular basisIdentify recurring content errors or process gaps and recommend corrections to prevent compliance exposure QualificationsMinimum advertising filing experience required — candidates who cannot demonstrate the experience below will not advance in the selection process.Required3+ years of direct, hands-on experience submitting Medicare advertising materials through HPMS (file & use and/or prior approval) — required3+ years of experience submitting materials through carrier co-op advertising portals for MA, MAPD, and/or PDP plans — requiredProven ability to review consumer-facing Medicare advertising across multiple media types for CMS MMG compliance before submissionWorking knowledge of TPMO disclaimer requirements, co-branding rules, SOA requirements, and required plan benefit disclosuresExperience resolving carrier and CMS advertising objections and managing resubmission processesStrong organizational and tracking skills; ability to manage high filing volumes across multiple carriers simultaneouslyBachelor’s degree in healthcare administration, business, communications, marketing, or equivalent professional experiencePreferredCertified in Healthcare Compliance (CHC) or actively pursuing certificationActive health insurance producer license (or willingness to obtain)Prior experience in an agency, brokerage, FMO, TPMO or similar advertising compliance or operations roleExperience with Medicare Supplement advertising under NAIC model standards and state-level requirementsFamiliarity with TCPA, CAN-SPAM, and state telemarketing rules as applied to Medicare marketingExperience building or maintaining compliance tracking systems or document management workflowsFamiliarity with FWA training requirements and annual certification obligations for Medicare producers Why Join UsOpportunity to shape and scale a rapidly growing technical organizationHigh-visibility role partnering directly with senior leadershipCollaborative and mission-driven cultureAbility to influence long-term strategy and operational directionMeaningful ownership across systems, processes, and cross-functional outcomes Telecommuting RequirementsAbility to keep all company-sensitive data secure.Required to have a dedicated work area established that is separated from other living areas and provides information privately without disruption.Must live in a location that can receive a high-speed internet connection or leverage an existing high-speed internet service. What we offer! 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. MyPlanAdvocate is an equal opportunity employer. MyPlanAdvocate prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. MyPlanAdvocate conforms to the spirit as well as to the letter of all applicable laws and regulations. MyPlanAdvocate uses E-Verify to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, visit www.uscis.gov/e-verify.Unsolicited resumes sent to MyPlanAdvocate, including unsolicited resumes sent to a MyPlanAdvocate business mailing address, fax, or email address, or directly to MyPlanAdvocate employees, will be considered MyPlanAdvocate property. MyPlanAdvocate will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume.

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