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Medical Network Development Associate

Date Posted: Nov 22, 2017

Location: Wilmington, DE, US, 19801

Company: MetLife

Job Location: United States : Delaware : Wilmington  

 

Role Value Proposition: 

Assists with implementing MetLife’s Worldwide Benefit Global network strategy and contributes to Global Direct Settlement Network growth.  Serves as network expert internally; supports Operations, Sales & Account Management on day to day network related issues. Maintain online provider directory on eBenefits. Oversee sales support network process.

 

Key Responsibilities:

  • Executes project plans to expand MetLife’s Worldwide Benefit global provider network in key gap areas.
  • Improves quality, depth, and breadth of the international direct pay network by contracting appropriate direct settlement providers to the network.
  • Oversees multiple network development requests and executes complex requests assisting with access of care issues.
  • Prepares, analyses, reviews and executes direct billing contracts with international medical providers that include hospitals, clinics, medical centers, dental offices etc.
  • Conducting contract negotiations including discounts and drafting the contract for international hospitals, clinics, physicians and other providers for medical services.
  • Once the contract is executed perform provider onboarding process that includes updating provider directory, creating internal files / folders and provide training to provider on direct billing process and procedure.   
  • Constantly monitoring eBenefits provider listing for accuracy and add/ delete providers based on their quality qualifications / recommendation.
  • Responsible for attracting new and maintaining existing international medical provider relationship with various MetLife RSCs or direct.
  • Ensuring the smooth operation and administration of provider agreements as well as providing responsive service to the international medical providers.
  • Work with various RSC network teams to collect provider listings on quarterly basis and review them with Network manager to appropriately update eBenefits provider listing.
  • Maintain provider mailbox for all provider day to day requests and work with internal teams or external vendors on resolution of such requests coming to the mailbox.
  • Oversee network sales support process by working closely with GOSC sales support team. Ensure quality of Provider Network Analysis & Country Network Analysis reports that goes to Sales team for prospect client.
  • Maintain & update Provider Network database on regularly basis to include new network updates regionally.
  • Conduct the performance tracking of contracts to ensure compliance with contract guidelines and providing guidance to less experienced colleagues.
  • Provider research and consultation assistance to Network Manager, Operations, Sales & Account Management and other business partners on an as needed basis.
  • Identifies service delivery gaps, negotiates resolution, and implements remediation activities.

 

Essential Business Experience and Technical Skills:

Required:

  • 2+ years of experience.
  • Excellent written and oral communication skills.
  • Ability to meet tight deadlines.
  • Strong customer service skills.
  • High level of organization skill and the ability to prioritize and multi-task.
  • Strong Excel skills.
  • Ability to adapt to change.
  • Ability to work independently and with teams.

 

Preferred:

  • Bachelor’s Degree is highly preferred.
  • Bilingual capabilities – Spanish highly preferred
  • Insurance industry knowledge, group benefits, and Expatriate Benefits knowledge a plus
  • Global experience/exposure.

 

Business Category

Global Employee Benefits, Expat Business Transformation

 

Number of Openings

1

 

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.

 

 

MetLife is a proud equal opportunity/affirmative action employer committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. It is MetLife's policy to ensure equal employment opportunity without discrimination or harassment based on race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

MetLife maintains a drug-free workplace.

For immediate consideration, click the Apply Now button. You will be directed to complete an on-line profile. Upon completion, you will receive an automated confirmation email verifying you have successfully applied to the job.

Requisition #: 91301 


Nearest Major Market: Wilmington
Nearest Secondary Market: Philadelphia