Accountable Care Organization (ACO) Project Manager

• Lead day-to-day management of the LEAD ACO implementation plan.
• Develop and maintain detailed project plans, workstreams, milestones, dependencies, and risk mitigation strategies.
• Coordinate startup activities across clinical, operational, financial, compliance, technology, and care management teams.
• Monitor project timelines and escalate barriers to executive leadership.
• Facilitate implementation meetings and maintain project documentation.
• Track readiness activities associated with CMS LEAD ACO requirements.

• Assist in developing operational workflows supporting: Attribution management, Care coordination, Transitional care management (TCM), Chronic care management (CCM), Behavioral health integration, Advanced care planning, Hospital-to-SNF transitions, Community-based care programs
• Coordinate development of standard operating procedures and playbooks.
• Support creation of care pathways for high-risk and high-needs populations.
• Assist with implementation of quality improvement initiatives.

• Partner with physician leadership to support provider engagement and adoption.
• Coordinate communication between Medrina providers, APPs, care coordinators, and partner organizations.
• Track provider participation, education, and training initiatives.
• Support development of provider performance scorecards and quality reporting.
• Coordinate implementation of clinical interventions aimed at reducing avoidable hospitalizations and readmissions.

• Support operational execution of Medrina's value-based care strategy.
• Assist in development of risk stratification workflows.
• Coordinate outreach initiatives targeting high-risk beneficiaries.
• Track performance against utilization, quality, and cost benchmarks.
• Monitor care gap closure initiatives and intervention programs.
• Support implementation of social determinants of health (SDOH) initiatives.

• Coordinate implementation of technology solutions supporting the LEAD ACO.
• Work with vendors to ensure integration of: EMRs, HIE platforms, Care management systems, Analytics platforms, Population health tools, Reporting dashboards
• Assist with data validation and reporting accuracy.
• Support development of executive dashboards and operational reporting.

• Assist in development of CMS-required policies and procedures.
• Coordinate quality reporting activities.
• Monitor compliance with CMS ACO regulations and reporting requirements.
• Support audit preparation and regulatory readiness activities.
• Maintain documentation supporting governance and operational compliance.

• Support tracking of ACO financial performance.
• Assist with budget management for implementation initiatives.
• Monitor project ROI and performance outcomes.
• Coordinate reporting related to shared savings and value-based arrangements.
• Support development of business cases for new initiatives.

• Serve as liaison between: Executive leadership, Clinical leadership, Care management teams, Technology vendors, Health plans, Hospitals, Skilled nursing facilities, Community providers
• Prepare executive-level presentations and status updates.
• Facilitate steering committee and governance meetings.

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, or related field.
• 5+ years of healthcare project management experience with ACOs, Medicare Shared Savings Program (MSSP), ACO REACH, Medicare Advantage and Value-based care programs.
• PMP certification.
• Experience in post-acute care, skilled nursing, hospital medicine, or population health.
• Experience leading complex cross-functional healthcare initiatives.
• Advanced project management and organizational skills and proficiency with project management tools and reporting systems.
• Familiarity with CMS quality measures and risk adjustment programs.
• Experience working with healthcare analytics and reporting platforms.

Physical Requirements:

• This is a remote, work from home position which handles sensitive, and confidential information. Work must be performed in a secure and private setting.
• Communicating via virtual online meetings daily with reliable internet connectivity with camera on as well as being responsive in a timely manner during work hours via email, MS Teams and phone are required.
• Travel in United States for on-site visits and company meetings is required.
• Ability to sit, stand, and walk for extended periods.
• Ability to lift and move up to 25 pounds.

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.