DSNP Account Manager (CLEVELAND, OHIO)
Core
Field-based liaison acting as the local subject matter expert for Dual Eligible Special Needs Plans (DSNP), building trusted relationships with nursing facilities and long-term care partners to drive program alignment and improve member outcomes.
Role type
Senior Account Manager (DSNP/Managed Care)
Builds
DSNP program alignment and provider experience for dual-eligible members
Domain
Healthcare / Medicare Advantage / Medicaid / Long-Term Care
Deliverable
client delivery
Required skills
DSNP program expertise, Medicare Advantage/Medicaid knowledge, care coordination, provider relations, on-site visit execution, benefits eligibility interpretation, performance metrics analysis, CRM documentation, cross-functional collaboration
Preferred skills
Master's degree in Healthcare Administration/Nursing/Public Health, Certified Case Manager (CCM) or Managed Care Professional (MCP) certification
Technologies
Microsoft Office (Project, Word, Excel), CRM tools
Responsibilities
Conduct regular on-site visits to nursing facilities and provider offices for education and issue resolution; act as the local DSNP subject matter expert addressing benefits and enrollment questions; identify and resolve operational, clinical, or administrative barriers impacting members; monitor provider performance indicators and escalate risks; document all agency contacts and weekly reports in CRM; collaborate with internal Clinical, LTSS, Operations, and Network teams to improve outcomes; provide field feedback to inform product design and network strategy.
Seniority
Senior, hands-on IC