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Dsnp Program Jobs (NOW HIRING)

Centene

Senior Compliance Analyst, Duals (DSNP) Products

$70K - $126K/yr

Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program ... Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities ...

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Dsnp Program information

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$45.7K

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How much do dsnp program jobs pay per year?

As of Sep 10, 2026, the average yearly pay for dsnp program in the United States is $45,721.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $47,500.00 per year, depending on experience, location, and employer.

What is a DSNP program?

A DSNP, or Dual Eligible Special Needs Plan, is a type of Medicare Advantage plan designed specifically for individuals who are eligible for both Medicare and Medicaid. These plans offer additional benefits and care coordination tailored to the needs of dual-eligible beneficiaries, such as help with prescription drugs, dental, vision, and hearing coverage. DSNPs aim to simplify healthcare by combining coverage and providing extra support, often at low or no cost, depending on your Medicaid status.

What are typical collaboration points between a DSNP Program Manager and other healthcare professionals within an organization?

DSNP Program Managers routinely collaborate with clinical teams, care coordinators, social workers, and compliance specialists to ensure that dual-eligible members receive comprehensive, integrated care. They often facilitate interdisciplinary meetings to review member needs, align care plans, and address barriers to care. This teamwork is essential for meeting regulatory requirements and improving health outcomes, as well as for sharing insights to enhance program effectiveness. Effective communication and coordination across these teams is a key aspect of the DSNP Program Manager role.

What are the key skills and qualifications needed to thrive as a DSNP Program Manager, and why are they important?

To thrive as a DSNP (Dual Eligible Special Needs Plan) Program Manager, you typically need a background in healthcare administration, robust knowledge of Medicare and Medicaid regulations, and experience in managed care or health plan operations. Familiarity with data analytics tools, healthcare compliance systems, and CMS reporting requirements is often required. Exceptional leadership, communication, and problem-solving skills help build cross-functional relationships and drive program outcomes. These skills ensure effective program management, regulatory compliance, and improved care for a vulnerable population.

What are popular job titles for Dsnp Program?

Popular job titles for Dsnp Program:

Member Advocate - DSNP

Wheeling, WV • On-site

The Health Plan of West Virginia Inc
Insurance Services • 51 - 200 employees
Learn more about The Health Plan of West Virginia Incexternal

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Under the general direction of the DSNP Supervisor, the DSNP Member Advocate is responsible for coordinating administrative functions within the DSNP Program which may include administering the Health Risk Assessments, scheduling care team meetings and completing meeting agendas and minutes, performing initial outreach and education.


Required:

  1. High School Diploma.
  2. Proficiency with basic computer use (Windows)/keyboarding and office equipment (fax, print, scan, Polycom phone).
  3. Knowledge of medical terminology.
  4. Experience gathering health information via telephonic outreach.

Desired:

  1. Post high school course work in business, social services, health care, behavioral health, or health care administration is helpful. Undergraduate degree in health related field is preferred.
  2. Should possess strong speaking, written, and analytical skills, motivation and initiative, and an ability to work independently.
  3. Proficiency in word processing programs (Microsoft Word and Excel) and other related PC usage. 

Responsbilities:

  1. Take incomming calls on a direct or ACD line as per unit and job function.
  2. Performs outbound outreach, welcome, and gap closure calls to members.
  3. Conducts Health Risk Assessments on DSNP members telephonically or when appropriate in a face to face setting.
  4. Schedules member care team meetings and maintains agendas and minutes.
  5. Refers members to needed health services and facilitates access to or arrange community resources.
  6. Works with Nurse Navigators and Social Workers to coordinate care and services for members, may obtain consultations, reports or diagnostics from providers; files and notifies requesting staff of records.
  7. Facilitate or arrange transportation services or personal care services.
  8. Attends member care team meetings as needed.
  9. Monitors for changes in member Medicaid eligibility requirements and assists members as needed.
  10. Helps to coordinate Medicare and Medicaid benefits.
  11. Has established adequate proficiency in using THP platforms/applications necessary to perform the functions of a Member Advocate, i.e. various programs & assessments in HEART and Case Tracker, Cave or other unit specific tools.
  12. Maintains monthly monitoring scores of >90% accuracy on unit Member Advocate interrater at and after 1 year of work.
  13. Demonstrates a complete understanding of departmental policies and procedures. Uses Policy Stat, Employee Manual and other reference tools as appropriate.
  14. Consistently displays positive/professional attitude and is compliant with attendance policies.
  15. Able to diffuse tense situations/angry members and resolve issues.
  16. Displays good time management and multitasking skills. 

8:00am - 5:00pm
40