Account Manager

CareSource

DSNP Account Manager serving as primary field liaison between organization and DSNP providers. Building relationships and addressing operational barriers to improve member outcomes.

Posted 5/29/2026full-timeCleveland • Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $83,000 - $132,800 per yearWebsite

About the role

Key responsibilities & impact

Serves as the primary field-based liaison between the organization and DSNP-participating providers, nursing facilities, and long-term care partners.
Builds and maintains strong, trusted relationships with facility leadership, administrators, and clinical staff to support DSNP program success.
Conducts regular on-site visits to nursing facilities and provider offices to support education, issue resolution, and operational alignment.
Acts as the local DSNP subject matter expert for providers, addressing questions related to benefits, eligibility, enrollment, and care coordination.
Identifies operational, clinical, or administrative barriers impacting DSNP members and works cross-functionally to drive timely resolution.
Keeps management informed by documenting detailed activity and records of all agency/organization contacts in the Customer Relationship Management tool (“CRM”) and weekly reports.
Supports onboarding and ongoing engagement of DSNP-participating facilities, ensuring understanding of program requirements and workflows.
Collaborates with internal Clinical, LTSS, Operations, and Network teams to improve member outcomes and provider experience.
Monitors provider performance indicators and escalates risks or trends that may impact quality, access, or compliance.
Provides feedback from the field to inform DSNP product design, operational improvements, and network strategy.
Documents provider interactions, issues, and follow-ups to ensure visibility, accountability, and continuity across teams.

Requirements

What you’ll need

Bachelor's degree in Healthcare Administration, Nursing, Business, Public Health, or related field required
Master's degree in relevant field preferred
Five (5) years experience in healthcare account management, provider relations, case management, or related roles within Medicare, Medicaid, or managed care environments required
Experience conducting onsite provider visits and delivering provider education required
Experience working with Dual Eligible Special Needs Plans (DSNP), Medicare Advantage, or long-term care providers required
Proven ability to collaborate with multidisciplinary teams across clinical and operational functions
Strong knowledge of care coordination, benefits eligibility, enrollment processes, and health plan operations
Ability to interpret and use healthcare data and performance metrics
Familiarity with healthcare delivery models and provider network management
In-depth knowledge of DSNP programs, Medicare Advantage, Medicaid, and long-term care services
Understanding of clinical workflows, healthcare regulations, and compliance requirements relevant to Medicare and LTSS
Proficient in Microsoft Office tools, including Project, Word, and Excel
Advanced troubleshooting, critical thinking, and problem-solving capabilities
Must have valid driver's license, vehicle and verifiable insurance.

Benefits

Comp & perks

Health insurance
Retirement plans
Flexible work hours
Paid time off
Annual proof of Influenza vaccination required during season

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare account managementprovider relationscase managementcare coordinationbenefits eligibilityenrollment processeshealth plan operationshealthcare data interpretationperformance metricsprovider network management

Soft Skills

collaborationcritical thinkingproblem-solvingrelationship buildingcommunicationorganizational skillsissue resolutionoperational alignmentfeedback provisionmultidisciplinary teamwork