Project Manager, LEAD Program Manager

ADP, Inc.; Town of Florida (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

Palm Beach Accountable Care Organization is seeking a Healthcare Project Manager to lead the operational, financial, and strategic execution of the ACO LEAD model in a high-impact program. You will drive performance improvements, manage payments, and ensure CMS/CMMI compliance while coordinating with multi-disciplinary teams.

The role requires strong project management, healthcare operations, and financial analysis skills, with responsibility for presenting results to providers and executives

Qualifications

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

Responsibilities

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

Skills

Project management

Healthcare operations

Financial analysis

Stakeholder communication

Education

Bachelor's degree in Healthcare Administration or related field

Master's degree preferred

Tools

Excel

Power BI

Tableau

Job description

Healthcare Project Manager – ACO LEAD Program

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.
• 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 elevate 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.
• Excellent written/verbal communication for technical and non-technical audiences.
• Ability to manage multiple priorities and deadlines.