Leads the strategy, execution, and submission of DSNP bids while ensuring compliance with CMS guidance and regulatory requirements. Collaborates with cross-functional teams to manage benefit design, risk assessments, and competitive positioning.
Job Summary:The Senior Manager, DSNP Bid Strategy & Development is responsible for DSNP bid strategy and execution, ensuring compliant, accurate, and competitive submissions across states and plan years. Translates CMS guidance and cross‑functional input into executable bid decisions while managing risk, governance, and timelines.
Essential Functions:- Leads DSNP bid development strategy, execution, and submission activities across all applicable states and plan years.
- Interprets CMS guidance, Final Rules, and HPMS memos to inform DSNP bid design and compliance requirements.
- Partners with Actuarial, Finance, Compliance, Product, and Operations to ensure bid accuracy, alignment, and feasibility.
- Oversees benefit design decisions, supplemental benefit strategy, and competitive positioning for DSNP products.
- Manages CMS Model Materials Timeline.
- Provides leadership on mid-year benefit changes, plan corrections, and CMS resubmissions as needed.
- Conducts bid reviews and risk assessments to identify financial, operational, and regulatory exposure.
- Maintains bid documentation, assumptions, and audit-ready artifacts for internal and external review.
- Supports executive-level decision-making by summarizing bid tradeoffs, risks, and opportunities.
- Coaches and develops bid team members, promoting consistency, quality, and regulatory excellence.
- Perform any other job related duties as requested.
Education and Experience:- Bachelor's degree in project management, Business, Computer Science or related field required
- Master's degree in related field preferred
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Seven (7) years DSNP Product Experience required
- Five (5) years DSNP Bid Support/Experience required
- Five (5) years Leading DSNP Initiatives required
Competencies, Knowledge and Skills:- Excellent proficiency with Microsoft Office tools, including Project, Word, PowerPoint, Excel, Visio, Teams, Outlook, etc.
- Experience working in project management software is required
- Demonstrates excellent analysis and reporting skills
- Excellent decision making/problem solving skills
- Exceptional interpersonal and relationship building skills
- Excellent critical listening and thinking skills
- Proven ability to effectively interact with all levels of the organization of management within and externally to the organization
- Excellent written and verbal communication skills
- Customer service oriented
- Ability to shape the approach to needed results and gain consensus of the approach
- Ability to proactively, effectively and efficiently lead a project team of 20+ core members and multiple vendors
- Experience managing a project of up to $10M+ in budget
- Proven ability to prioritize work and team assignments to deliver projects on time, on budget, and meeting stakeholders expectations
- Demonstrates a sense of urgency
- Deep understanding of project management processes, techniques and tools, and development lifecycle (ideally Agile)
- Strong experience in the healthcare payer industry and knowledge of Medicaid and Medicare
Licensure and Certification:Working Conditions:- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range:
$113,000.00 - $197,700.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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