SNP (Duals) Health Plan Director – Medicare and Medicaid Managed Care – Nashville, TN



  • Bachelor’s (Preferred)

About Monogram Health

We are dedicated to improving the well-being, quality of life and health outcomes for our patients by partnering with the nation’s leading kidney specialists to provide transformative kidney care. Monogram Health supports patients suffering from Chronic Kidney Disease and End Stage Renal Disease by forming deep rooted relationships and preparing them both emotionally and physically for the challenges of managing Kidney Disease. Monogram Health uses next generation artificial intelligence algorithms to predict necessary and timely care to promote the delay of Kidney Disease progression, seamless transitions to dialysis and/or pre-emptive kidney transplant as well as to optimize our patients’ health outcomes once on dialysis.

Position: SNP Program Manager/Director

The Special Needs Plan (SNP) (Duals), Program Manager is required to carefully monitor the performance and adherence to the Centers for Medicare and Medicaid Services (CMS) regulatory requirements based on an approved Model of Care (MOC).

In this role, the individual will be expected to provide a high level of program and product specific subject matter expertise. He or she will be responsible for intensive oversight of the program to ensure performance, quality, regulatory adherence and audit readiness.

The SNP Program Director reports directly to the VP, Enterprise Programs and works closely with the Clinical and Market Operations, and other teams across the organization.

Roles and Responsibilities

· Develop and implement programmatic requirements to meet SNP MOC requirements

· Oversee implementation and monitoring of Interdisciplinary Care Team (ICT) requirements and outcomes

· Continuous monitoring of compliance of SNP SLAs

· Continuous evaluation of effectiveness of SNP program

· Complete mock audits to ensure audit preparedness

· Support Monogram as necessary with any tasks required to deliver excellent personalized kidney care and perform all other duties as assigned

· Uphold the mission and values of Monogram Health in all aspects of your role and activities

Position Requirements

· Phoenix, AZ or Nashville, TN; office-based

· Bachelor’s degree from a four-year college

· 3+ years’ experience with program management, project management, or similar experience

· 3+ years’ experience working for a health plan, and/or vendor contracting with health plans delegated for services

· 3+ years’ experience with Medicare SNP programmatic requirements

· Detail oriented, excellent prioritization, and time management skills

· Expertise partnering with internal departments to drive collaboration and results

· Highly proficient in Microsoft Excel, Word, and Powerpoint

· Experience working in high-growth environment preferred

· Valid driver’s license


· Opportunity to work in a dynamic, fast-paced and innovative care management company that is transforming the delivery of kidney care

· Competitive salary, commensurate with experience

· Comprehensive medical, dental, vision and life insurance

· Flexible paid leave & vacation policy

· 401(k) plan with matching contributions

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.

Job Type: Full-time


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Vision insurance


  • Monday to Friday

COVID-19 considerations:
We work from the office. We follow CDC guidelines to keep our employees and program members healthy and safe.


  • Bachelor’s (Preferred)

Work Location:

  • One location

This Company Describes Its Culture as:

  • Aggressive — competitive and growth-oriented
  • Outcome-oriented — results-focused with strong performance culture

Company’s website:

Work Remotely:

  • No

COVID-19 Precaution(s):

  • Remote interview process
  • Personal protective equipment provided or required
  • Social distancing guidelines in place
  • Virtual meetings
  • Sanitizing, disinfecting, or cleaning procedures in place


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