Palm Beach Accountable Care Organization · 1 day ago
Healthcare Project Manager – ACO REACH Program
Palm Beach Accountable Care Organization is dedicated to improving healthcare quality through value-based care models. They are seeking a Healthcare Project Manager to lead the operational, financial, and strategic execution of their ACO REACH model, overseeing all aspects from strategic planning to financial reconciliation.
Health CareInformation Technology
Responsibilities
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
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
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
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
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
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
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, Accounting, or related field
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
Advanced Microsoft Excel skills; proficiency in Word and PowerPoint
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
Preferred
Master's degree in Healthcare Administration, Business, Accounting, or related field
Familiarity with Power BI, Tableau, or other analytics dashboards
Company
Palm Beach Accountable Care Organization
Palm Beach Accountable Care Organization physicians have identified prevention as a key factor in improving overall patient health.