Program Managers are DSPs who coordinate the programs of 1-3 people and supervise the other DSPs who work in the home. The coordination of the programs involves being a liaison between the people and their support team and between the people and Bios, helping them participate in developing their support plans, coordinating their health care and advocating for themselves.

The most successful program managers connect deeply with the humanity of all people. They have high expectations for the quality of lives people with disabilities can and should have and they are good at motivating and inspiring other people to provide the needed and desired support to help people have lives they value.