Medicare Material Reviewer

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.

1. 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.
2. Collaborate with cross-functional teams, including marketing, legal, compliance, and product development, to assess and appropriately address any potential compliance issues.
3. Stay up-to-date on changes to Medicare regulations and guidelines, and incorporate them into the review process as needed.
4. Work closely with the Medicare Compliance team to identify and resolve any potential compliance concerns.
5. Utilize strong attention to detail to identify and correct any errors or discrepancies in materials before they are distributed to members.
6. Maintain organized and detailed records of all reviews and changes made to Medicare materials.
7. Communicate any changes or updates to Medicare regulations and guidelines to internal stakeholders.
8. Assist in the development and implementation of processes and procedures to ensure ongoing compliance with Medicare regulations and guidelines.
9. Serve as a subject matter expert on Medicare rules and regulations, providing guidance and support to other teams as needed.
10. Act as a liaison with external partners, such as CMS and other regulatory agencies, to ensure compliance with Medicare requirements.
11. Support the overall goal of providing high-quality, effective communication to Medicare beneficiaries.
12. Demonstrate a strong commitment to ethical and responsible behavior in all job duties.

According to JobzMall, the average salary range for a Medicare Material Reviewer in Hartford, CT, USA is $45,000 to $65,000 per year. This range can vary depending on the company, level of experience, and education of the individual. Some factors that can also impact salary include job responsibilities, performance, and geographic location.

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.