at MetLife in Aurora, Illinois, United States
Job Description
Role Value Proposition
The 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/Veterans
If 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.
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