Special Needs Plan (SNP) Program Manager

 Devoted Health
 May 3, 2021
A bit about us: 
We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being. 
That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly. 
“We want to partner with people we love for a cause we believe in. Life is short. Join us.
A bit more about this role: 
The Special Needs Plan (SNP) Program Manager assures operational excellence, compliance, and ongoing product viability of Devoted’s special needs plans (E.g., DSNP, CSNP).  This individual liaises with internal and external constituents to drive consistency in operations, adherence to regulatory (state and federal) requirements, and high quality service across membership and partners.  This individual monitors program performance and drives improvement(s) as needed, including but not limited to findings from internal and external audits.  They drive continuous improvement in the design and delivery of Devoted’s Model(s) of Care, supports the annual bid process and aids with monitoring overall ROI of Devoted’s DSNP offerings. 
The ideal candidate is a proven team player, leader, and individual contributor who is able to engage relevant parties cross-functionally, drive decision making, and as applicable, facilitate operational change.  They have a proven track record of success implementing corporate programs and/or projects and must be able to think critically to analyze performance and identify opportunities for improvement.  

Responsibilities include:

  • Provide day to day oversight of core SNP operations to assure optimal cross-functional operations and member and provider experiences
  • Identify and troubleshoot operational issues as they arise; identify and aid in prioritization of gaps to fill to assure product viability
  • Drive innovative clinical and operational MOC program enhancements
  • Partner with Member Experience Team to monitor end-to-end SNP member experience and effectuate changes to engagement model if/when needed
  • Ensure understanding of and adherence to new/modified state and federal requirements by all applicable stakeholders cross-functionally 
  • Synthesize results to effectively and comprehensively assess SNP program effectiveness for leadership and use results to help drive strategy for future product direction
  • Manage operational budget for SNP programs and assess cost to serve these populations; support Finance and Product teams with ROI analyses of SNP product(s) as applicable
  • Attributes to success:

  • Strong understanding of SNP requirements
  • Strong understanding of Devoted’s business needs/service model 
  • Ability to cultivate and maintain positive working relationships with leadership across the organizations and external partners
  • Strong written and oral communication skills 
  • Analytic, problem-solving mindset
  • Comfort operating autonomously and ability to effectively deal with ambiguity
  • Results-oriented with a willingness to take initiative and get the job done
  • High degree of professionalism
  • Desired skills and experience:

  • 5-7 years of relevant business experience
  • Demonstrated progression of leadership, responsibility, knowledge, and experience
  • Health plan experience strongly preferred
  • If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you! 
    Devoted is an equal opportunity employer.  We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
    As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.