DSNP Account Manager (Columbus, Ohio)
Core
Field-based liaison between the organization and DSNP-participating providers, nursing facilities, and long-term care partners to drive program alignment and improve member outcomes.
Role type
Senior Account Manager (Healthcare/Managed Care)
Builds
Trusted provider relationships and operational alignment for Dual Eligible Special Needs Plans (DSNP)
Domain
Healthcare, Medicare Advantage, Medicaid, Long-Term Care
Deliverable
client delivery
Required skills
DSNP program expertise, Medicare/Medicaid managed care operations, care coordination, provider network management, healthcare data analysis, benefits eligibility processes, clinical workflow understanding, regulatory compliance knowledge, Microsoft Office proficiency, advanced troubleshooting, critical thinking, relationship building, multi-tasking, time management, decision making
Preferred skills
Master's degree in relevant field, Certified Case Manager (CCM) or Managed Care Professional (MCP) certification
Technologies
Microsoft Project, Microsoft Word, Microsoft Excel, Customer Relationship Management (CRM) tools
Responsibilities
Conduct regular on-site visits to nursing facilities and provider offices for education and issue resolution; document detailed activity and weekly reports in CRM; act as local DSNP subject matter expert for providers; identify and resolve operational, clinical, or administrative barriers; monitor provider performance indicators and escalate risks; support onboarding of DSNP-participating facilities; collaborate with internal Clinical, LTSS, Operations, and Network teams; provide field feedback to inform product design and strategy.
Seniority
Senior, hands-on IC with field mobility