Senior Account Manager - Medicare Advantage

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.