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Dsnp Program Manager Jobs (NOW HIRING)

Avery Healthcare Group Ltd.

Care Management Coordinator

$21.10 - $36.78/hr

You will have a life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who ... Inform the assigned care manager of newly identified health/safety risks or service needs * Care ...

Health First

DSNP Care Coordinator

Monsey, NY · On-site

$42K - $62K/yr

Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors ...

Healthfirst (New York)

DSNP Care Coordinator

New York, NY · On-site

$42K - $62K/yr

Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors ...

Healthfirst

DSNP Care Coordinator

Manhattan, NY · On-site

$42K - $62K/yr

Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors ...

CVS Health

Social Worker - Field Charleston, WV

$43K - $91K/yr

Social Worker - Field Based - Charleston, WV Program Overview Join our Aetna team as we lead the ... Completing care management focused assessments. * Setting member-centered goals. * Identifying ...

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Dsnp Program Manager information

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$38.5K

$107.5K

$157K

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.

DSNP Care Manager - Essex County

Hopewell, NJ • On-site, Remote

Horizon Blue Cross Blue Shield of New Jersey
Insurance Services • 5 - 10K employees
Learn more about Horizon Blue Cross Blue Shield of New Jerseyexternal

$63K - $84K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Key responsibilities

  • Assesses patients' clinical needs and evaluates the necessity, appropriateness, and efficiency of services provided.

  • Develops, coordinates, and assists in implementing members' individualized plan of care, and monitors medical care activities and outcomes.

  • Coordinates with patients, families, healthcare providers, and external entities to ensure appropriate care and resource utilization.

Horizon Blue Cross Blue Shield of New Jersey rating

8.3

Company rating: 8.3 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

133rd of 315 rated insurance

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
This field based position is accountable for the assessment and case management of Dual Special Needs members using established guidelines to ensure appropriate level of care as well as developing a member centric plan of care.
What You'll Do
  • Assesses patient's clinical needs against established guidelines and/or standards to ensure that the services provided are medically appropriate to members needs.
  • Evaluates the necessity, appropriateness and efficiency of services provided.
  • Develops, coordinates and assists in implementation of members- individualized plan of care.
  • Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
  • Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
  • Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
  • Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
  • Documents accurately and comprehensively based on the standards of practice and current organization policies.
  • Provides field based and/or telephonic case management activities specific to the Dual Special Needs program.

What You Bring
Education/Experience:
  • High School Diploma/GED required.
  • Bachelor degree preferred or relevant experience in lieu of degree.
  • Requires a minimum of three (3) years broad clinical experience.
  • Requires a minimum of three (3) years experience in home care, discharge planning, or case management. Preferably with the elderly frail population.
  • Requires a minimum of three (3) year experience in the health care delivery system/industry.

Additional licensing, certifications, registrations:
  • Active Unrestricted NJ SW/RN/LPN License or CSW Required.

Knowledge:
  • Requires strong knowledge of the standards of practice for case managers.
  • Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS).
  • Required knowledge of medical terminology.
  • Prefers knowledge of managed care principles.
  • Prefer experience with elderly frail population.

Skills and Abilities:
  • Requires strong organizational skills.
  • Requires strong oral and written communication skills.
  • Requires good PC skills and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.)
  • Requires good problem solving and conflict resolution skills.
  • Requires good presentation skills.
  • Requires ability to work with limited daily supervision.

Travel % (If Applicable):
  • This is a field based position, daily local travel is required.
  • Requires a car with valid New Jersey State License and Insurance.

Why Horizon?
At Horizon, you'll do meaningful work that directly improves lives-while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we'd love to hear from you!
Salary Range:
$63,000 - $84,420
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

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