Lead Director, DSNP Program Management

CVS Health

Lead director managing DSNP program development and execution at CVS Health. Ensuring compliance with Medicare and Medicaid regulations while collaborating with various stakeholders.

Posted 4/16/2026full-timeRemote • Minnesota, Texas, Vermont • 🇺🇸 United StatesSenior💰 $100,000 - $231,540 per yearWebsite

About the role

Key responsibilities & impact

Plans, monitors and manages internal projects from initiation through completion for the Georgia and the Gulf States Medicare Market.
Secures required resources and uses formal processes and tools to manage resources, budgets, risks and changes.
Manages projects to ensure on-time completion according to specifications and within budgeted costs.
Directs teams throughout the development, implementation, and execution of the Dual Eligible Special Needs Plan (DSNP) program.
Applies advanced knowledge of the Medicare and Medicaid regulatory landscape to ensure program compliance with federal and state regulations.
Conducts advanced research on innovative healthcare delivery models that may enhance the impact of the DSNP program.
Consults on critical quality metrics for the DSNP program with stakeholders and implements evidence-based interventions.
Develops methods for monitoring program expenditures and financial resources while maintaining program quality and compliance.
Collaborates with healthcare providers, care managers, social workers, and other stakeholders.

Requirements

What you’ll need

10+ years work experience
5+ years working within a Medicare Advantage Organization
Mastery of problem solving and decision making skills
Mastery of collaboration and teamwork
Mastery of growth mindset (agility and developing yourself and others) skills
Mastery of execution and delivery (planning, delivering, and supporting) skills
Mastery of business intelligence

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

project managementbudget managementrisk managementprogram compliancehealthcare delivery modelsquality metricsevidence-based interventionsfinancial resource monitoringMedicare regulationsMedicaid regulations

Soft Skills

problem solvingdecision makingcollaborationteamworkgrowth mindsetagilityexecutiondeliveryplanningsupporting