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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for development and production of Medicare regulatory required and benefit related materials to ensure compliance with State and Federal regulations and alignment with administrative policies. Position supports Medicare Solutions portfolio nationwide with presale and member enrollment materials <ul><li>Works within materials automation platform to generate, update and review materials. Performs audits of benefits, language and content to ensure accuracy and consistency with CMS filed benefits, models and templates.</li><li>Develops errata documents and ad hoc member communications when necessary.</li><li>Participates in cross-functional committees to promote understanding of development activities, assist in review activities, and ensure compliance with a standard format for master templates used in material development.</li><li>Able to work independently with minimal direction.</li><li>Ensure that all business processes that support Medicare document development and Production functions are completed with a high degree of accuracy and within the timeframes established by departmental standards.</li><li>Ensure Medicare Product organization is run in accordance with all State and Federal regulatory requirements.</li><li>Maintain compliance by regularly monitoring activities to assess compliance. Implement approved corrective actions to remove deficiencies on time, as required by an internal or exterior auditor, regulator or government purchaser, and monitor to ensure no repeat deficiencies.</li><li>Supports maintenance and development of department product communication policies &amp; procedures.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor's Degree in related field or equivalent experience will be considered. 3+ years experience in communications, or related field. Prior experience developing member communications preferred. Some experience acting as a subject matter expert or team lead preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Medicare Marketing Compliance Specialist

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Project Lead for Medicare regulatory required and benefit related materials to ensure compliance with State and Federal regulations and alignment with administrative policies. Position supports CNC Medicare Solutions portfolio nationwide with pre-sale and member enrollment materials. Leads cross-functional workgroups to improve and promote understanding of development activities to ensure compliance and create efficiencies. <ul><li>Responsible for the development, production, and quality review of Medicare regulatory required materials, pre-sale materials, and post enrollment member materials, as directed. Ensures compliance with State and Federal laws, accreditation standards, internal operations, and products.</li><li>Acts as a project lead for the development, production, and/or audits of both written and web-based materials as needed on an annual basis. Also participates in ad hoc auditing and change initiatives and testing when assigned.</li><li>Leads teams in material development, benefit and compliance analysis. Provides support and guidance as needed on complex projects.</li><li>Leads cross-functional teams and workgroups to promote understanding of development activities, assist in review activities, and ensure compliance.</li><li>Ensures timely completion of annual materials and/or regulatory required materials in accordance with all state and federal guidelines with a high degree of accuracy. Helps lead the development of templates, language libraries and all internal sources of truth needed to create materials.</li><li>Within the Automation Team, works within materials automation platform on more complex programming to generate, update and review materials. Performs audits of benefits, language and content to ensure accuracy and consistency with CMS filed benefits, models, and templates.</li><li>Triages and assigns material development tasks and audits on an ongoing basis, communicating with stakeholders and material authors as necessary to determine appropriate review or audit process. May assist in auditing as needed to support business partners.</li><li>Serves as a subject matter expert. Able to work independently and serve as a resource to support others with minimal direction. Proactively communicates status updates and escalate as needed.</li><li>Develops training tools to support material development, regulatory regulation monitoring, training, and execution. Trains peers in review, development and/or automation tasks.</li><li>Independently looks for opportunities for process improvements or identifies process gaps to enhance existing materials and processes.</li><li>Ownership of specific processes within the team and provides guidance to leadership on key decisions</li><li>Able to make decisions without guidance from leadership when appropriate and represents the team in cross-functional meetings.</li><li>Creates detailed workplan with thorough consideration of upstream dependencies, downstream impact, resources availability, timeliness and other necessary factors.</li><li>Provides product-related status reporting to management and stakeholders on a routine and ad hoc basis.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul>Education/Experience: Bachelor's Degree in related field such as Health Care Administration, Managed Care, Business, Legal and Communications or equivalent experience will be considered. 5+ years experience in Medicare, MA or MMP materials or documents, Health Insurance, Health care administration. Prior experience developing member communications preferred. Experience acting as a subject matter expert or team lead preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Sr. Medicare Marketing Compliance Specialist

Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG's) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (<a href="https://www.milliman.com/en/social-impact" target="_blank">https://www.milliman.com/en/social-impact</a>) to learn more about Milliman's commitments to our people, diversity and inclusion, social impact and sustainability. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance. What You Will Do Role <ul><li>Complete state filing certifications and letters</li><li>Draft insurance form revisions as needed</li><li>Recommend objection responses for consultant's review</li><li>Lead and/or participate in research projects specific to client's need</li><li>Assemble and submit insurance product filings to state insurance departments</li><li>Monitor correspondence from states regarding filings and distribute as appropriate</li><li>Maintain filing status records</li><li>Prepare and send approved filings to clients</li></ul>Qualifications <ul><li>Bachelor's degree</li><li>Experience with MS Office (Word and Excel especially) and Adobe Acrobat</li><li>2 or more years of experience in insurance or financial services industry preferred</li><li>Strong work ethic and ability to work independently</li><li>Attention to detail and commitment to quality work</li><li>Excellent organizational skills</li><li>Ability to handle multiple projects and tasks, prioritizing and meeting deadlines</li><li>Strong written and verbal communication skills</li><li>SERFF experience preferred, but not necessary</li></ul>The Team Tampa Individual Life and Health Team is a practice within Milliman, Inc., one of the largest actuarial consulting firms in the world. Our team was established in 1998 and specializes in supplemental life and health products. We expanded our reach with the addition of several senior actuaries who have spent their entire careers focused on these supplemental health and life product lines. In 2013, we were excited to add compliance consulting expertise to our operations. Our dedicated team that specializes in corporate licensing and regulatory compliance, including Uniform Certificate of Authority Application (UCAA) filings has become a driving element of the growing comprehensive services we offer to our clients. Our broad range of services includes product development support, pricing, experience analysis, product re-rating, valuation, and appointed actuary work, as well as state filings, regulatory support, objection response, corporate licensing and annuity work. Team members work on a range of client projects of various sizes, and we employ a highly integrated project structure that encourages interaction across all members of the team from analysts to consultants to the Principals serving as the client leads. While most of our team's time is spent working on projects developed within our local office, team members also have the chance to participate on certain assignments that are completed in partnership with other Milliman offices, and work with employees from other Milliman life and health practices. We believe that the compliance and actuarial skillsets have important applications across both our traditional work and our work in new and developing markets. We are committed to developing a pipeline of new talent and future leaders of the firm through support and interaction with senior colleagues. Location The expected application deadline for this job is July 31, 2025. This role is based out of the Milliman office in Tampa, Florida, but candidates hired into this role could work remotely anywhere in the US. This position is open to in office, hybrid or remote working locations. Compensation The salary range is $55,000 - $131,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. If overall experience is less than 5 years the range would be $55,000 - $109,000; for experience of greater than 5 years, the range would be $67,000 - $131,000. Benefits At Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility: <ul><li>A 401(k) plan with matching program, and profit-sharing contribution</li><li>Employee Assistance Program (EAP)</li><li>A discretionary bonus program</li><li>Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked</li><li>Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period</li><li>Commuter Program, which allows you to use pre-tax dollars to pay for your parking or public transit expenses to get to and from work. You may utilize this benefit any time throughout the year and funds will be available the first of the month following your first contribution.</li><li>A minimum of 10 paid holidays</li><li>Milliman covers 100% of the premiums for life insurance, AD&amp;D, and both short-term and long-term disability coverage</li><li>Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs</li></ul>Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-REMOTE #LI-HYBRID #LI-ONSITE Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

3 Jobs in Tampa, FL, USA