Medicare Material Reviewer

Remote, USA Full-time
Are you passionate about improving healthcare for Medicare beneficiaries? Do you have a strong attention to detail and a background in healthcare or health insurance? Aetna is looking for a Medicare Material Reviewer to join our team and help ensure the accuracy and compliance of our Medicare materials. As a Medicare Material Reviewer, you will play a critical role in helping us provide high-quality, effective communication to our members. We are seeking individuals who are organized, self-motivated, and have a deep understanding of Medicare regulations and guidelines. If you are a team player with a passion for making a difference in the lives of others, we encourage you to apply for this exciting opportunity at Aetna. Conduct thorough reviews of all Medicare materials, including but not limited to marketing materials, member communications, and provider documents, to ensure accuracy and compliance with Medicare regulations and guidelines. Collaborate with cross-functional teams, including marketing, legal, compliance, and product development, to assess and appropriately address any potential compliance issues. Stay up-to-date on changes to Medicare regulations and guidelines, and incorporate them into the review process as needed. Work closely with the Medicare Compliance team to identify and resolve any potential compliance concerns. Utilize strong attention to detail to identify and correct any errors or discrepancies in materials before they are distributed to members. Maintain organized and detailed records of all reviews and changes made to Medicare materials. Communicate any changes or updates to Medicare regulations and guidelines to internal stakeholders. Assist in the development and implementation of processes and procedures to ensure ongoing compliance with Medicare regulations and guidelines. Serve as a subject matter expert on Medicare rules and regulations, providing guidance and support to other teams as needed. Act as a liaison with external partners, such as CMS and other regulatory agencies, to ensure compliance with Medicare requirements. Support the overall goal of providing high-quality, effective communication to Medicare beneficiaries. Demonstrate a strong commitment to ethical and responsible behavior in all job duties. Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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