[Hiring] Medicare Compliance & Advertising Filing Specialist @MyPlanAdvocate
Role Description 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.
- Own all Medicare advertising submissions through the CMS Health Plan Management System (HPMS), including file & use and prior approval filings for MA, MAPD, and PDP materials.
- Submit and manage advertising materials through each contracted carrier’s co-op advertising portal or designated advertising review process.
- Track 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 confirmation.
- Respond to carrier and CMS objections promptly, coordinating corrected materials with internal staff and resubmitting within required timeframes.
- Monitor HPMS filing calendars, carrier advertising deadlines, and material expiration dates; initiate renewals and withdrawals proactively.
- Maintain a master advertising filing log covering all active, pending, approved, expired, and withdrawn materials across all carriers and plan types.
- Review all agency-produced advertising content against CMS Medicare Marketing Guidelines (MMG) before submission.
- Identify non-compliant content and direct corrections before any material is filed or published.
- Apply and verify all required disclaimers, co-branding requirements, and plan-specific benefit disclosure standards.
- Review other insurance advertising for compliance with applicable NAIC model standards and state-specific advertising regulations.
- Serve as the final compliance sign-off before any advertising asset is submitted to a carrier or CMS, or released for publication.
- Monitor CMS HPMS memos, Annual Marketing Review releases, and Medicare Marketing Guideline updates throughout the plan year.
- Maintain an up-to-date reference library of advertising guidelines, required disclaimers, approved language, and plan-specific advertising rules for each contracted carrier.
- Advise producers and agency leadership on what advertising content is and is not permissible under current CMS rules and carrier requirements.
- Support the agency’s response to carrier compliance audits, CMS oversight inquiries, and state Department of Insurance advertising reviews.
- Develop and maintain written SOPs for the advertising material lifecycle.
- Build and maintain filing documentation that would satisfy a carrier audit or CMS review at any point in the year.
- Report advertising compliance activity, filing volumes, approval rates, and outstanding items to agency leadership on a regular basis.
- Identify recurring content errors or process gaps and recommend corrections to prevent compliance exposure.
Qualifications
- 3+ years of direct, hands-on experience submitting Medicare advertising materials through HPMS (file & use and/or prior approval) — required.
- 3+ years of experience submitting materials through carrier co-op advertising portals for MA, MAPD, and/or PDP plans — required.
- Proven ability to review consumer-facing Medicare advertising across multiple media types for CMS MMG compliance before submission.
- Working knowledge of TPMO disclaimer requirements, co-branding rules, SOA requirements, and required plan benefit disclosures.
- Experience resolving carrier and CMS advertising objections and managing resubmission processes.
- Strong organizational and tracking skills; ability to manage high filing volumes across multiple carriers simultaneously.
- Bachelor’s degree in healthcare administration, business, communications, marketing, or equivalent professional experience.
Requirements
- Certified in Healthcare Compliance (CHC) or actively pursuing certification (preferred).
- Active health insurance producer license (or willingness to obtain) (preferred).
- Prior experience in an agency, brokerage, FMO, TPMO or similar advertising compliance or operations role (preferred).
- Experience with Medicare Supplement advertising under NAIC model standards and state-level requirements (preferred).
- Familiarity with TCPA, CAN-SPAM, and state telemarketing rules as applied to Medicare marketing (preferred).
- Experience building or maintaining compliance tracking systems or document management workflows (preferred).
- Familiarity with FWA training requirements and annual certification obligations for Medicare producers (preferred).
Benefits
- 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.
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