Oversee DHMO quality management and utilization management governance, regulatory committees, audit readiness, corrective action monitoring, compliance reporting, and quality improvement. Analyze operational, financial, regulatory, satisfaction, grievance, and performance data to identify risks and trends. Develop governance processes, policies, reporting frameworks, and documentation standards. Partner with cross-functional stakeholders and leadership to improve compliance, organizational performance, member experience, and provider outcomes.
Description and Requirements
The Team You Will Join
Join the nation's largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife's Group Benefits team, you'll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today's employers and workforces. Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most.
The Opportunity
The Senior DHMO Controls Analyst is responsible for supporting DHMO Quality Management, regulatory compliance, governance, audit readiness, reporting, and continuous improvement activities across MetLife's dental managed care operations. The role provides critical oversight and analytical support for regulatory committees, quality improvement programs, corrective action monitoring, policy governance, and regulatory reporting to help ensure compliance, operational effectiveness, and quality outcomes.
This is an exciting opportunity to work at the intersection of quality, compliance, analytics, and regulatory oversight, partnering with leaders across the organization to drive meaningful improvements, support regulatory readiness, and influence key initiatives that enhance the member and provider experience.
Key Responsibilities
Required Qualifications
Preferred Qualifications
The expected salary range for this position is $82,000 - $100,000 . 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! For more information regarding MetLife's U.S. benefits, please click here .
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.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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.
This posting is for a current vacancy and is anticipated to remain open for at least 90 days from the listed posting date.
The Team You Will Join
Join the nation's largest non-medical carrier of group insurance, where your work will impact over 55,000 customers and cover more than 50 million employees and family members. As part of MetLife's Group Benefits team, you'll deliver innovative benefits solutions - life, disability, dental, vision, and voluntary benefits - tailored to today's employers and workforces. Collaborate with customers, brokers, and partners to expand our offerings and reimagine digital experiences. Join us and be part of an organization committed to supporting customers when they need us most.
The Opportunity
The Senior DHMO Controls Analyst is responsible for supporting DHMO Quality Management, regulatory compliance, governance, audit readiness, reporting, and continuous improvement activities across MetLife's dental managed care operations. The role provides critical oversight and analytical support for regulatory committees, quality improvement programs, corrective action monitoring, policy governance, and regulatory reporting to help ensure compliance, operational effectiveness, and quality outcomes.
This is an exciting opportunity to work at the intersection of quality, compliance, analytics, and regulatory oversight, partnering with leaders across the organization to drive meaningful improvements, support regulatory readiness, and influence key initiatives that enhance the member and provider experience.
Key Responsibilities
- Manage DHMO Quality Improvement and Utilization Management governance activities, including regulatory committee administration, meeting facilitation, committee documentation, and reporting to support compliance and organizational oversight.
- Analyze and report DHMO quality, regulatory, operational, financial, satisfaction, grievance, and performance data; identify trends, risks, and opportunities and provide actionable recommendations to support business objectives and continuous improvement.
- Support regulatory audits, examinations, corrective action initiatives, and audit readiness activities through documentation management, evidence validation, remediation tracking, and compliance monitoring.
- Develop and maintain Quality Management governance processes, including policy and procedure controls, reporting frameworks, documentation standards, and process enhancements that strengthen compliance, transparency, and audit readiness.
- Partner and influence cross-functional stakeholders to drive quality improvement initiatives, regulatory compliance efforts, reporting enhancements, and strategic projects that improve organizational performance and quality outcomes.
Required Qualifications
- 5+ years of experience in quality management, regulatory compliance, audit support, managed care, dental insurance, healthcare operations, or a related field.
- Experience supporting regulatory committees, quality improvement programs, utilization management, audit readiness, corrective action monitoring, and regulatory reporting within a highly regulated environment.
- Strong analytical, problem-solving, and organizational skills with the ability to interpret complex data, identify trends and risks, and develop actionable recommendations to support compliance and business objectives.
- Proven ability to work independently, manage multiple priorities, influence stakeholders without direct authority, and communicate effectively with business partners and leadership.
- Proficiency in Microsoft Excel, PowerPoint, Word, Teams, and SharePoint, with demonstrated AI fluency and experience utilizing AI-enabled tools to enhance reporting, documentation, analysis, and operational efficiency; high school diploma or equivalent required
- Ability to use approved AI tools to support routine tasks such as drafting, summarizing, organization information, and improving day-to-day efficiency.
Preferred Qualifications
- Experience in DHMO and dental managed care regulatory operations, including quality management programs, regulatory oversight, audits, corrective action plans, and regulatory reporting.
- Experience developing dashboards, scorecards, trend analyses, executive-level reporting, and process improvement initiatives using reporting, automation, or AI-enabled tools.
- Experience presenting findings, recommendations, and performance results to leadership and governance committees, and influencing stakeholders to support regulatory compliance, quality outcomes, and strategic initiatives.
The expected salary range for this position is $82,000 - $100,000 . 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! For more information regarding MetLife's U.S. benefits, please click here .
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.
As part of our New Frontier strategy, MetLife is building an AI-enabled, people-centered future. We're looking for people who bring curiosity, adaptability, and a growth mindset as we use AI to enhance how we serve customers, support communities, and evolve the way work gets done. At MetLife, AI is a responsible partner that supports human judgment, creativity, and continuous improvement while helping us build trust, inclusion, and long-term value.
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.
This posting is for a current vacancy and is anticipated to remain open for at least 90 days from the listed posting date.
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