Federal and Integrated Products Materials Reviewer / NYC / Medicare and Medicaid / Mostly Remote

Job title: Federal and Integrated Products Materials Reviewer / NYC / Medicare and Medicaid / Mostly Remote in New York City, NY at RCM Health Care Services

Company: RCM Health Care Services

Job description: 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

• 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

Expected salary: $75000 per year

Location: New York City, NY

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