The DSNP Project Manager is responsible for coordinating activities related to the Dual Eligible Special Needs Plan (DSNP) lifecycle. This role ensures compliance with CMS requirements, timely execution of deliverables, and seamless collaboration across internal teams and external partners and will oversee strategic project planning and manage all aspects of AEP operational readiness including all impacted business functions.
This position will effectively manage assigned projects, utilizing appropriate project management methodologies to drive the planning, implementation, and tracking of projects through all aspects of the project lifecycle and will be responsible for the planning, procurement, and execution of a project. This position is a leadership role that provides coaching and guidance to less experienced project managers, has a higher level of education and/or experience, is expected to work autonomously, and exercises independent judgment.

• In collaboration with RAC, manages the CMS application process in alignment with CMS timelines.
• Works with Finance to coordinate bid preparation, ensuring accuracy and compliance with program requirements.
• Collaborates with RAC in the application submission and maintain documentation for audit readiness.
• Supports DSNP development, planning, product implementation, and monitors operational performance.
• Collaborates with cross-functional teams (Compliance, Provider Engagement, Enrollment, Claims, Customer Service, UM/CM, Sales, Marketing, Quality, Finance) to ensure readiness and adherence to CMS standards.
• Partners with the Marketing team to execute DSNP marketing strategies and ensures compliance with CMS marketing guidelines.
• Oversees production and distribution of ID cards, member letters, and other required communications.
• Develops and manages the DSNP AEP readiness plan, including timelines, deliverables, and risk mitigation strategies.
• Monitors CMS guidance and state regulations to maintain adherence throughout AEP activities.
• Tracks and reports readiness metrics to leadership, identifying gaps and implementing corrective actions.
• Facilitates training and readiness sessions for internal stakeholders.
• Serves as the primary point of contact for DSNP AEP readiness inquiries and escalations.
• Identifies process improvement opportunities and implements best practices.
• Manages projects with low to high complexity and greater ambiguity, involving both interdepartmental and external stakeholders.
• Identifies and manages project deliverables, risks, dependencies, communication, and critical path for all assigned projects.
• Develops and maintains project plans, project charters, and budget summaries
• Works with subject matter experts and department representatives to develop, streamline, and implement newly established processes.
• Responsible for successful hand-off of established processes and project deliverables to appropriate business owner(s).
• Ensures projects stay on track by effectively following-up with project stakeholders and subject matter experts on outstanding project deliverables.
• Works autonomously in managing day-to-day project execution.
• Uses independent judgement to estimate project resource needs, identify time and resource constraints, and develops/adjusts project plans accordingly.
• May supervise and provide guidance to staff as assigned.
• Develops business cases, project charters and other project documentation, and presents to stakeholders as needed.
• Effectively utilizes project management software, tools, and resources needed for project planning and executions.
• Tracks, compiles, reviews, and analyzes project data and results.
• Oversees the tracking of tasks, timelines and resources necessary to meet project objectives while keeping within cost, scope, schedule and resource requirements.
• Maintains project documentation per department specifications.
• Communicates with project team, stakeholders and leaders on status, potential risks, issues, or dependencies associated with projects in a timely manner.
• Develops and distributes communications to project stakeholders.
• Effectively utilizes online collaboration applications.
• Coordinates and facilitates both internal and external meetings.
• Develops and publishes agendas, meeting minutes, and necessary documentation.
• Plans and coordinates events, conferences, and webinars, as needed.
• Other duties as assigned

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$118,518.94 - $154,074.63

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.