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Healthcare Project Manager - ACO REACH Program

Healthcare Project Manager - ACO REACH Program

Palm Beach Accountable Care OrganizationWest Palm Beach, FL, US
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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.

    • #LI-CS1

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