Senior Manager, DSNP Product Operations

CareSource is a healthcare management organization focused on providing operational leadership for DSNP products. The Senior Manager, DSNP Product Operations will lead end-to-end operations, ensuring compliance and scalability while collaborating with cross-functional teams to execute DSNP strategies and drive continuous improvement initiatives.

Responsibilities:

• 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

Requirements:

• 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
• 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