Senior Account Manager - Medicare Advantage

Description and Requirements
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.
Benefits We Offer
Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the 2023 "World's Most Admired Companies" as well as the 2024 Fortune 100 Best Companies to Work For ®, MetLife , through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East.
Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by empathy, we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
Equal Employment Opportunity/Disability/Veterans
If you need an accommodation due to a disability, please email us at [email protected]. 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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