Medicare Compliance & Advertising Filing Specialist

MyPlanAdvocate

1d•$80,000•Remote

About The Position

We 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.

Requirements

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
Ability 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.

Nice To Haves

Certified in Healthcare Compliance (CHC) or actively pursuing certification
Active health insurance producer license (or willingness to obtain)
Prior experience in an agency, brokerage, FMO, TPMO or similar advertising compliance or operations role
Experience with Medicare Supplement advertising under NAIC model standards and state-level requirements
Familiarity with TCPA, CAN-SPAM, and state telemarketing rules as applied to Medicare marketing
Experience building or maintaining compliance tracking systems or document management workflows
Familiarity with FWA training requirements and annual certification obligations for Medicare producers

Responsibilities

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, including for example: direct mail pieces, print ads, digital display, paid social, email campaigns, radio/TV scripts, websites, landing pages, and sales event invitations
Identify 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 published
Apply and verify all required disclaimers, co-branding requirements, and plan-specific benefit disclosure standards
Review other insurance (e.g., Medicare Supplement) 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; translate changes into clear, actionable guidance for agency staff and producers
Maintain 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 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, from internal review through carrier/CMS submission, approval, publication, expiration, and withdrawal
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