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Dsnp Program Manager Jobs (NOW HIRING)

CVS Health Corporation

$80 - $100/hr

Contribute innovative ideas to support program development and continuous improvement * Maintain ... Certified Case Manager (CCM) certification * Experience working with DSNP or Medicare populations ...

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Dsnp Program Manager information

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How much do dsnp program manager jobs pay per year?

As of Sep 9, 2026, the average yearly pay for dsnp program manager in the United States is $107,460.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,500.00 and $132,500.00 per year, depending on experience, location, and employer.

What is a DSNP Program Manager?

DSNP Program Managers are professionals responsible for overseeing Dual Eligible Special Needs Plans (DSNPs), which are specialized Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Their role involves coordinating plan operations, ensuring compliance with regulations, managing member outreach, and improving health outcomes for this vulnerable population. They work closely with healthcare providers, state agencies, and internal teams to deliver effective and efficient care management services. DSNP Program Managers also monitor plan performance and implement strategies to enhance member experience and satisfaction.

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

To thrive as a DSNP Program Manager, you need expertise in healthcare program management, Medicare/Medicaid regulations, and experience with dual-eligible special needs plans, often supported by a bachelor’s degree in health administration or a related field. Familiarity with healthcare management software, data analytics tools, and compliance tracking systems is typically required. Exceptional leadership, problem-solving, and stakeholder communication skills help drive program success and effective team coordination. These competencies are crucial for ensuring regulatory compliance, optimizing member care, and achieving organizational goals in a complex healthcare environment.

What are some common challenges faced by DSNP Program Managers when coordinating care across multiple healthcare providers?

DSNP Program Managers often encounter challenges in ensuring seamless communication and collaboration between various healthcare providers, including primary care physicians, specialists, and social service organizations. Navigating different electronic health record systems, aligning care plans, and maintaining up-to-date information about members' needs can be complex. Successful DSNP Program Managers proactively address these issues by fostering strong relationships, implementing standardized communication processes, and utilizing care management tools to streamline coordination. This collaborative approach helps improve outcomes for dual-eligible members and ensures regulatory compliance.

What are the main responsibilities of a DSNP Program Manager?

A DSNP Program Manager oversees the development, implementation, and management of Dual Eligible Special Needs Plans (DSNPs), ensuring compliance with healthcare regulations and coordinating with healthcare providers and stakeholders. They analyze program performance, manage budgets, and lead cross-functional teams to improve member services and enrollment processes. Strong project management skills and knowledge of Medicare and Medicaid policies are essential for this role.

What does a DSNP Program Manager in healthcare do?

A DSNP Program Manager in healthcare oversees the development, implementation, and management of Dual Special Needs Plans (DSNPs) for Medicare and Medicaid beneficiaries. They coordinate with healthcare providers, ensure compliance with regulations, and analyze program performance to improve member services and outcomes. Strong project management skills and knowledge of healthcare policies are essential for this role.

What are popular job titles related to Dsnp Program Manager jobs?

For Dsnp Program Manager jobs, the most frequently searched job titles are:

Infographic showing various Dsnp Program Manager job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $107,460 per year, or $51.7 per hour.

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

Re-posted 18 days ago

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