The Manager of DHMO Controls oversees compliance activities for dental group benefits, manages a team, and liaises with stakeholders for regulatory audits.
Description and Requirements
The Role
The Group Benefits Compliance team is part of the U.S. Business and is responsible for product compliance activities for MetLife's Group Benefits products.
The Manager of DHMO (Dental HMO) Controls will report directly to the Vice President, Group Benefits Contracts and Compliance and will be responsible for all DHMO Compliance activities and have direct oversight of a team of quality management associates. The Manager will work collaboratively with internal stakeholders to maintain our DHMO Quality and Utilization Management Program and provide guidance to DHMO operational areas. The role will also lead and act as the primary compliance liaison for state regulatory audits of the DHMO product. The Manager will also review proposed and enacted laws impacting the dental product and initiate implementation plans to meet compliance requirements. The role may also be responsible for other compliance activities for other Group Benefits products, such as regulatory filings and statutory/regulatory research.
Key Responsibilities
Required Qualifications
Preferred Qualifications
The expected salary range for this position is $85,000 - $142,900. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
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, paid time off, paid holidays, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the 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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$85,000 - $142,900
The Role
The Group Benefits Compliance team is part of the U.S. Business and is responsible for product compliance activities for MetLife's Group Benefits products.
The Manager of DHMO (Dental HMO) Controls will report directly to the Vice President, Group Benefits Contracts and Compliance and will be responsible for all DHMO Compliance activities and have direct oversight of a team of quality management associates. The Manager will work collaboratively with internal stakeholders to maintain our DHMO Quality and Utilization Management Program and provide guidance to DHMO operational areas. The role will also lead and act as the primary compliance liaison for state regulatory audits of the DHMO product. The Manager will also review proposed and enacted laws impacting the dental product and initiate implementation plans to meet compliance requirements. The role may also be responsible for other compliance activities for other Group Benefits products, such as regulatory filings and statutory/regulatory research.
Key Responsibilities
- Oversee DHMO Compliance activities, primarily maintain our DHMO Quality and Utilization Management Program and provide guidance to operational areas on state and federal regulatory changes.
- Act as the primary liaison for state DHMO regulatory audits and assist internal stakeholders in corrective action plans.
- Follow the Regulatory Change Management Program for review and implementation of state and federal laws impacting the Group Benefits products, with a focus on DHMO.
- Manage a team of associates responsible for DHMO Quality Management activities.
- Work with Contracts to implement any changes specific to new or existing DHMO requirements.
- May be responsible for other compliance related activities for other Group Benefits Products, such as regulatory filings, statutory/regulatory research.
Required Qualifications
- 3+ years DHMO or dental group benefits compliance experience
- 5+ years of related work experience
- Experience with regulatory processes and issue systems
- Ability to foster a collaborative environment
- Ability to devise solutions and think strategically while organizing information and ideas effectively
- Competencies: Analytical, strong computer skills, leadership and organizational skills, project management skills, making sound business decisions, decisiveness, and communication skills.
Preferred Qualifications
- 8+ years of related work experience
- Experience leading and/or managing a team
- Bachelor's degree in related field
The expected salary range for this position is $85,000 - $142,900. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms.
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, paid time off, paid holidays, volunteer time off, tuition assistance and much more!
About MetLife
Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces™, as well as the 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 our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible . Join us!
MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
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.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
$85,000 - $142,900
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