What are the responsibilities and job description for the Project Manager, LEAD Program Manager position at PBACO Holding LLC?
Healthcare Project Manager – ACO LEAD 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 LEAD Program to lead the operational, financial, and strategic execution of our ACO LEAD 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 LEAD Program oversees all aspects of PBACO’s Medicare ACO LEAD 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 LEAD 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 LEAD 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 LEAD 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.
Salary : $87,631 - $129,850