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Medicare Products Document Specialist

Role overview

Summary

This role focuses on managing Medicare member communications and marketing materials to ensure accuracy and compliance. You will collaborate with various departments and external vendors while identifying opportunities for process improvements, including the use of AI for efficiency.

Qualifications

  • Bachelor's Degree or equivalent work experience.
  • 5 years of experience in the healthcare industry.
  • 3 years of experience with Medicare products.
  • Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
  • Excellent oral and written communication skills.

Responsibilities

  • Manage the end-to-end process for the creation and fulfillment of the annual member mailing.
  • Serve as department liaison with key functional groups regarding plan design and administrative changes.
  • Review and interpret regulations impacting the company's Medicare plans to ensure compliance.
  • Implement and improve procedures for handling plan materials and regulatory documents.

Key facts

Hard skills

Other skills

  • Research
  • Organizational Skills
  • Communication
  • Microsoft Office
  • Social Skills
  • Teamwork
  • Detail Oriented

About the company

BlueCross BlueShield of Tennessee logo

BlueCross BlueShield of Tennessee

  • Health Insurance & Payers
  • XLarge
  • 5,001–10,000
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. © 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.

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Job description

 We are hiring a Medicare Products Document Specialist on our Medicare Marketing Materials & Support team!

In this role, you will help ensure Medicare member communications and marketing materials are accurate, compliant, and delivered on time. You’ll manage the end-to-end process for annual member mailings, research and interpret CMS regulations, review materials for compliance, and partner across Product Strategy, Operations, Pharmacy, and Compliance. You’ll also communicate regularly with external vendors and help identify opportunities to improve processes, including creative ways AI can make day-to-day work more efficient.

To be successful in this role, in addition to the core job requirements, you’ll be highly organized, detail-oriented, and comfortable managing multiple projects and deadlines. You’ll be a strong candidate for this role if you have:

  • A background in Marketing, Communications, or Business
  • Experience with Medicare products and the healthcare industry
  • Experience researching and interpreting CMS regulations
  • Strong research, written communication, and organizational skills
  • Experience reviewing marketing or member materials for compliance
  • Comfort communicating and building relationships with external vendors
  • A creative, process-improvement mindset, including an interest in using AI to make day-to-day work more efficient

Note:

  • This is a fully remote position.
  • Sponsorship is not available for this role.

Job Responsibilities

  • Managing the end-to-end process for the creation and fulfillment of the annual member mailing to ensure that benefit information is reflected accurately within the designated deadlines.
  • Serving as department liaison with key functional groups to maintain open dialogue regarding plan design and administrative changes related to Product Strategy, Operations, Pharmacy, and Compliance.
  • Reviewing and interpreting regulations that impact the company's Medicare plans;  ensuring compliance with governing bodies.
  • Implementing and improving procedures for handling plan materials and regulatory documents for members or potential customers; analyzing causes of difficulties and makes changes, as needed.

Job Qualifications

Education

  • Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience

  • 5 years - Experience in the healthcare industry required
  • 3 years - Experience with Medicare products required

Skills\Certifications

  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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