Senior Manager, DSNP Bid Strategy – Development

Emploi pas sur LinkedIn

🕒 il y a 6 jours

🇺🇸 États-Unis – Télétravail

💵 $113 000 - $197 700 / an

⏰ Temps Plein

🟠 Senior

👔 Manager

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CareSource

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 30+ years

⚕️ Assurance santé

Healthcare Insurance

CareSource est une entreprise de services de santé axée sur la fourniture d'assurances santé abordables et de solutions de soins de santé. Elle propose une large gamme de plans incluant Medicaid, le Marketplace et Medicare Advantage, visant les adultes à faible revenu, les familles, les enfants, les femmes enceintes, les personnes âgées et les personnes handicapées. De plus, CareSource fournit à ses membres des ressources pour le soutien COVID-19, des avantages dentaires, visuels et auditifs, ainsi que des services de pharmacie. L'entreprise met l'accent sur l'accès facile à la gestion des soins de santé via des plateformes en ligne et une application mobile.

Description

• Leads DSNP bid development strategy, execution, and submission activities across all applicable states and plan years. • Interprets CMS guidance, Final Rules, and HPMS memos to inform DSNP bid design and compliance requirements. • Partners with Actuarial, Finance, Compliance, Product, and Operations to ensure bid accuracy, alignment, and feasibility. • Oversees benefit design decisions, supplemental benefit strategy, and competitive positioning for DSNP products. • Manages CMS Model Materials Timeline. • Provides leadership on mid-year benefit changes, plan corrections, and CMS resubmissions as needed. • Conducts bid reviews and risk assessments to identify financial, operational, and regulatory exposure. • Maintains bid documentation, assumptions, and audit-ready artifacts for internal and external review.

🎯 Exigences

• Bachelor's degree in project management, Business, Computer Science or related field required • Master's degree in related field preferred • Equivalent years of relevant work experience may be accepted in lieu of required education • Seven (7) years DSNP Product Experience required • Five (5) years DSNP Bid Support/Experience required • Five (5) years Leading DSNP 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 • Deep understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile) required • Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare preferred.

🏖️ Avantages

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Professional development opportunities • Potential for performance-related bonuses