Senior Manager, DSNP Product Operations

CareSource • United States, United States • 4h ago

Job Summary:

The Senior Manager, DSNP Product Operations provides end-to-end operational leadership for DSNP products, ensuring regulatory compliance, scalability, and readiness across markets and plan years, translating DSNP strategy into executable operations through cross-functional partnership, performance oversight, and continuous improvement.

Essential Functions:

Leads end-to-end DSNP product operations, ensuring operational readiness, scalability, and compliance across markets and plan years.

Owns operational execution for DSNP benefit configuration, eligibility, enrollment, and downstream system integrations.

Partners closely with Product, IT, Compliance, and Clinical teams to translate DSNP strategy into executable operational processes.

Oversees operational impacts of CMS guidance, state requirements, and dual integration models (e.g., aligned enrollment, MMP transitions).

Drives continuous improvement initiatives to enhance operational efficiency, accuracy, and member/provider experience.

Establishes and monitors KPIs, SLAs, and operational risk indicators related to DSNP performance.

Provides senior-level oversight of issue management, root cause analysis, and corrective action plans.

Supports annual bid and mid-year change implementation from an operational execution perspective.

Leads and develops high-performing teams, fostering accountability, cross-functional collaboration, and operational excellence.

Serves as an operational subject matter expert for DSNP during audits, readiness reviews, and executive reporting.

Facilitate and drive Leadership Stakeholder meetings

Manages team supporting operational oversight of vendor delegated for supplemental Food/OTC/Flex cards

Perform any other job related duties as requested.

Education and Experience:

Bachelor's degree in project management, Business, Computer Science or related field required

Equivalent years of relevant work experience may be accepted in lieu of required education

Seven (7) years DSNP Product Experience required

Five (5) years Working with CMS and State Requirements required

Five (5) years Leading DSNP Operational Initiatives required

Competencies, Knowledge and Skills:

Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.

Experience working in project management software is required

Demonstrates excellent analysis and reporting skills

Excellent decision making/problem solving skills

Exceptional interpersonal and relationship building skills

Excellent critical listening and thinking skills

Proven ability to effectively interact with all levels of the organization of management within and externally to the organization

Excellent written and verbal communication skills

Customer service oriented

Ability to shape the approach to needed results and gain consensus of the approach

Ability to proactively, effectively and efficiently lead a project team of 20+ core members and multiple vendors

Experience managing a project of up to $10M+ in budget

Proven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders expectations

Demonstrates a sense of urgency

Deep understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile)

Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

Travel is not typically required

Compensation Range:

$113,000.00 - $197,700.00

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

Fostering a Collaborative Workplace Culture

Cultivate Partnerships

Develop Self and Others

Drive Execution

Influence Others

Pursue Personal Excellence

Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

LI-EM1

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