Healthcare Project Manager - ACO REACH Program

Job Description

Job Description

Healthcare Project Manager – ACO REACH Program

Palm Beach Accountable Care Organization (PBACO) – West Palm Beach, FL
Full-Time | Exempt | Onsite Work Opportunity

About PBACO

Palm Beach Accountable Care Organization partners with physicians, hospitals, and payers to improve healthcare quality, reduce costs, and enhance patient outcomes through value-based care models.

We are seeking a Healthcare Project Manager – ACO REACH Program to lead the operational, financial, and strategic execution of our ACO REACH model. This is a high-impact role for someone with strong program management, healthcare operations, and financial analysis skills.

Position Summary

The Project Manager – ACO REACH Program oversees all aspects of PBACO’s Medicare ACO REACH program, from strategic planning to financial reconciliation. You will:

• Drive performance improvement initiatives.
• Manage monthly participant payments with exceptional accuracy.
• Ensure compliance with CMS/CMMI requirements.
• Serve as the first point of escalation for participant concerns.
• Present results to providers, executives, and stakeholders.

Key Responsibilities

Program Leadership & Strategic Execution

• Serve as the operational lead for all ACO REACH activities, initiatives, and reporting.
• Integrate cost-saving and quality-improvement strategies into program execution.
• Translate executive and regulatory directives into measurable work plans with defined timelines and success metrics.
• Coordinate with internal teams (Finance, Data, Quality, Network Development, Performance Improvement) to ensure alignment.

Financial Management & Payment Oversight

• Oversee creation, validation, and reconciliation of monthly participant payment files (≥ 99% accuracy).
• Collaborate with Finance to ensure on-time processing and resolution of discrepancies within 2 business days.
• Analyze payment trends and variances to identify opportunities for improvement.

Stakeholder Engagement & Communication

• Act as first point of escalation for participant issues, ensuring resolution within defined timeframes.
• Present financial and performance results to providers, executives, and large audiences.
• Build strong relationships with participants through proactive communication and education.

Data, Reporting & Compliance

• Ensure accuracy and timeliness of REACH program reporting to CMS, internal leadership, and participants.
• Monitor KPIs and escalate performance issues for corrective action.
• Maintain strict adherence to HIPAA, CMS, and CMMI regulations.

Project Management & Process Improvement

• Create and manage detailed project plans with milestones and deliverables.
• Conduct post-project reviews to capture best practices.
• Identify and implement operational improvements to reduce duplication and streamline workflows.

Qualifications

Education & Experience

• Bachelor’s degree in Healthcare Administration, Business, Accounting, or related field (Master’s preferred).
• 5+ years in healthcare operations, value-based care, or ACO program management with proven financial oversight.
• Understanding of CMS/CMMI programs, Medicare value-based payment models, and ACO REACH structure.

Technical Skills

• Advanced Microsoft Excel skills; proficiency in Word and PowerPoint.
• Familiarity with Power BI, Tableau, or other analytics dashboards preferred.

Core Competencies

• Financial & analytical expertise in healthcare payment models.
• Strong program and project management abilities.
• Skilled in data-driven decision-making.
• Excellent written/verbal communication for technical and non-technical audiences.
• Ability to manage multiple priorities and deadlines.

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