Lead Director, DSNP Program Management

Role Overview

• Plans, monitors and manages internal projects from initiation through completion for the Georgia and the Gulf States Medicare Market.
• Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes.
• Manages projects to ensure on-time completion according to specifications and within budgeted costs.
• Directs teams throughout the development, implementation, and execution of the Dual Eligible Special Needs Plan (DSNP) program.
• Applies advanced knowledge of the Medicare and Medicaid regulatory landscape to ensure program compliance with federal and state regulations.
• Conducts advanced research on innovative healthcare delivery models that may enhance the impact of the DSNP program.
• Consults on critical quality metrics for the DSNP program with stakeholders and implements evidence-based interventions.
• Develops methods for monitoring program expenditures and financial resources while maintaining program quality and compliance.
• Collaborates with healthcare providers, care managers, social workers, and other stakeholders.

Requirements

• 10+ years work experience
• 5+ years working within a Medicare Advantage Organization
• Mastery of problem solving and decision making skills
• Mastery of collaboration and teamwork
• Mastery of growth mindset (agility and developing yourself and others) skills
• Mastery of execution and delivery (planning, delivering, and supporting) skills
• Mastery of business intelligence

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility