Role Value PropositionThe Sr. Account Manager - Medicare Advantage is responsible for onboarding and ongoing management of their assigned relationships. This role requires knowledge and expertise with Medicare Advantage requirements as a delegated vendor while providing cross-functional support across MetLife stakeholders to ensure delivery on delegated vendor requirements. Strong dental and vision knowledge are preferred. Key Responsibilities
Accountable for the end-to-end account management experience of assigned relationship(s) as a Medicare Advantage delegated vendor
Provide functional and technical knowledge and oversight regarding Medicare Advantage requirements as a delegated vendor
Lead cross-functional internal meetings to ensure MetLife stakeholders have an understanding of objectives, expectations, timelines and deadlines
Lead, track and manage project plans to support delegated vendor requirements and ongoing relationship efforts
Effectively communicate internally and externally on a monthly basis, and/or as needed to support execution of program deliverables, including annual (and off-cycle) audits
Proactively identify opportunities to enhance efficiencies and program delivery
Understand the benefit offerings to provide enrollment material and client communications aligned with Medicare Advantage requirements
Develop strong internal relationships across Sales, Marketing, Underwriting, Billing, Eligibility, Claims, Customer Service, Legal and Compliance teams
Develop a strong understanding of Third-Party Administrators (TPAs) and brokers/consultants, including but not limited to, compliance requirements, operations, billing and fees, to drive strong relationships and support other TPA Relationship Managers as needed
Collaborate with the compliance team on creation and maintenance of Medicare Advantage policies and procedures.
Respond to customer needs proactively
Provide management with clear updates on issues and potential escalations
Flexible schedule, and able to work as needed outside of standard business hours; attend client and industry events to represent MetLife
Maintain up-to-date client databases, business plans and legal requirements
Expert in consultative support both internally and externally
Essential Business Experience and Technical Skills Required:
5+ years of Medicare Advantage delegation oversight and/or compliance experience in meeting delegation oversight audit requirements
5+ years of Account Management experience in the insurance industry (i.e., commercial and/or Medicare Advantage carrier, Medicare Advantage delegated vendor
Strong interpersonal skills, as well as excellent written and verbal communication skills
Ability to present and speak in front of large audiences
Must be self-motivated, and work well independently and as part of a team
Strong organizational and project management skills, with the ability to problem-solve and prioritize numerous responsibilities at once
Ability to consistently meet tight deadlines and work under pressure
Strong computer skills (Word, Excel, PowerPoint, Adobe, MS Project)
Prior expertise in the Third-Party Administrators (TPA) space and/or insurance industry (sales, underwriting, carrier operations)
Understanding of employee benefits (worksite and voluntary)
Preferred:
5+ years of Dental insurance experience
Bachelor’s Degree
Project/program management experience at a carrier
At MetLife, we’re leading the global transformation of an industry we’ve long defined. United in purpose, diverse in perspective, we’re dedicated to making a difference in the lives of our customers.Equal Employment Opportunity/Disability/VeteransIf you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.MetLife maintains a drug-free workplace.