Commercial Program Manager
PBACO Holding LLC —Palm Springs, FL
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
8d
Sr. Program Lead, Professional Education, CKMH
American Heart Association —Palm Beach, FL
- $84,400 - $113,000 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Fair chance
- Wellness program
- Paid holidays
Clinical Program Coordinator (Oculoplastic) - Bascom Palmer Eye Institute - Palm Beach Gardens, FL
University of Miami —Palm Beach Gardens, FL
- Full-time
- Mid-level
- Bachelor's degree
- 2 years
- Health insurance
- Dental insurance
Regional Director of Golf Outreach and Veteran Engagement
Guardian Outreach Ministries Inc —West Palm Beach, FL
- $80,000 - $150,000 a year
- Weekends as needed
- Hybrid work
- 3 years
- Driver's License
- Travel
- Flexible schedule
Quick Apply
Program Manager (Government/Defense)
Ocean Specialist —Stuart, FL
- Full-time
- Office
- Master's degree
- Project management
- Health insurance
- 401(k)
Quick Apply
14d
Program Director (AmeriCorps)
Boys & Girls Clubs of Martin County —Hobe Sound, FL
- $70,000 a year
- Nights as needed
- Background check
- Customer service
- Public speaking
- Paid holidays
- Disability insurance
Quick Apply
Program Controls Manager
Jacobs —West Palm Beach, FL
- $130,000 - $185,000 a year
- Full-time
- Office
- Finance
- Driver's License
- Paid holidays
- Health insurance
Talent Acquisition PMO Lead
Carrier —Palm Beach Gardens, FL
- $96,000 - $192,000 a year
- Full-time
- Bachelor's degree
- Travel
- Agile
- Wellness program
- Paid jury duty
8d
Program Director
Mentor Community Services —Stuart, FL
- Full-time
- Mid-level
- Driver's License
- Bachelor's degree
- Paid holidays
- Paid time off
Childcare Director *Experience Required*
Confidential —West Palm Beach, FL
- From $61,000 a year
- Full-time
- Bilingual
- School experience
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Director Adult Day Health Services
Council on Aging of Martin County —Stuart, FL
- $70,000 - $80,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Volunteer Engagement Specialist
Boys & Girls Clubs of Martin County —Hobe Sound, FL
- $50,000 - $55,000 a year
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
12d
Childcare Director
Confidential —Loxahatchee, FL
- From $60,000 a year
- Full-time
- Bilingual
- School experience
- Spanish
- Health insurance
- Dental insurance
Quick Apply
14d
AmeriCorps Member Experience Specialist
Boys & Girls Clubs of Martin County —Hobe Sound, FL
- $55,000 a year
- Nights as needed
- Background check
- Microsoft Excel
- Public speaking
- Paid holidays
- Disability insurance
Quick Apply
Strategic Programs Lead
NextEra Energy, Inc. —Juno Beach, FL
- Full-time
- Office
- Bachelor's degree
- Mentoring
6d
Community Partnership School Director
Childrens Home Society of Florida —Riviera Beach, FL
- $69,500 a year
- Weekends as needed
- Background check
- Customer service
- 5 years
- Paid holidays
- Paid time off
Quick Apply
Program Director
LifeWise Academy Inc —West Palm Beach, FL
- Part-time
- Mid-level
- Recruiting
- Retirement plan
Senior Manager, U.S. Benefits & Retirement
Carrier —Palm Beach Gardens, FL
- $117,500 - $234,500 a year
- Full-time
- 7 years
- HIPAA
- Office
- Wellness program
- Paid jury duty
Lead Project Manager - Renewable Fuel Program
NextEra Energy, Inc. —Palm Beach Gardens, FL
- Full-time
- 5 years
- Research
- Master's degree
11d
YouthBuild Program Case Manager
Boys & Girls Clubs of Martin County —Stuart, FL
- $60,000 a year
- Weekends as needed
- Spanish
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
10d

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program manager jobs near jupiter, fl

Commercial Program Manager

PBACO Holding LLC -
Palm Springs, FL

Quick Apply

Job Details

8 days ago

Qualifications

Optimizing workflow processes
Appeals
Computer operation
Contract documentation review
Performance improvement leadership
Contract review
Master's degree in business
Finance
Managed care organization experience
Workflow management (operations management method)
Computer literacy
Healthcare Administration
Identifying new business opportunities
Contract interpretation
HIPAA
Contract performance monitoring
Mid-level
Contract management experience in healthcare
3 years
Data summary reports
Finance
Analysis skills
Bachelor's degree
Public Health
Contractual compliance checks
Clinical performance metrics
Clinical program monitoring
Healthcare privacy protection
Project management experience in healthcare
Master's degree in finance

Full Job Description

Value-Based Agreement (VBA) Program Manager

Position Summary

The Value-Based Agreement (VBA) Program Manager is responsible for overseeing the execution, performance, and ongoing optimization of value-based agreements across commercial, Medicare Advantage, and other payor partnerships. This role ensures that contractual requirements are met, operational workflows run smoothly, and performance outcomes support organizational financial and quality goals. The Program Manager collaborates directly with internal leadership, payor partners, clinical teams, analytics, finance, and operations to drive the success of assigned value-based care initiatives.

Essential Duties and Responsibilities

Serve as a lead for payor expansion, including facilitation of rosters and scope-and-assess reviews
Serve as a lead for assigned value-based agreements, ensuring efficient execution of all contract provisions
Develop, maintain, and monitor program workflows, processes, and timelines supporting operational requirements
Coordinate program readiness for new contracts, expansions, and renewals, including internal education and resource alignment
Manage cross-functional integration between clinical, analytics, quality, finance, and contracting teams to support cohesive program delivery
Monitor financial and quality performance for each VBA, identifying trends, gaps, and opportunities for improvement
Partner with analytics teams to interpret performance dashboards, risk adjustment outcomes, utilization trends, and cost-of-care drivers
Prepare regular performance reports, recommendations, and executive-level summaries
Serve as a primary point of contact for payor partners on operational and programmatic matters
Support facilitation of recurring payor meetings, joint operating committees, and escalation pathways
Abide by all HIPAA, confidentiality, and privacy laws
Perform other duties as assigned by Supervisors and Managers

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Strong understanding of managed care contracting language and industry standards
Strong understanding of VBC financial methodologies (shared savings, risk corridors, capitation, quality incentives, risk adjustment)
Strong leadership skills, with the ability to motivate and manage cross-functional teams
Strong analytical and problem-solving capabilities, with the ability to manage and interpret healthcare data
Oral Communication — Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions
Safety and Security — Uses equipment and materials properly
Attendance/Punctuality — Is consistently at work and on time
Knowledge of medical records work procedures
Knowledge of computer applications
Knowledge of medical terminology
Knowledge of legal and ethical considerations related to patient information

Measurable Goals and Objectives

Achieve 100% compliance with all contractual terms
Achieve roster submission deadline compliance for all programs
Achieve year-over-year improvement in contract optimization
Achieve 100% on-time delivery of appeal and grievance notifications to payors
Identify and implement at least one new process improvement annually
Complete at least one new payor opportunity assessment and contractual modeling annually
Support execution of new VBAs annually and complete 100% of new payor onboarding requirements by stated deadlines

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Bachelor's degree required; Master's degree in Healthcare Administration, Public Health, Business, Finance, or a related field preferred
3–7+ years of experience in value-based care, payor-provider partnerships, healthcare operations, population health, managed care, or ACO operations
Experience managing complex multi-stakeholder healthcare programs strongly preferred
Experience conducting managed care contracting language reviews strongly preferred
Equivalent combination of education and experience considered

Quick Apply

Refine Your Search

program manager jobs in jupiter, fl

Commercial Program Manager

Sr. Program Lead, Professional Education, CKMH

Clinical Program Coordinator (Oculoplastic) - Bascom Palmer Eye Institute - Palm Beach Gardens, FL

Regional Director of Golf Outreach and Veteran Engagement

Program Manager (Government/Defense)

Program Director (AmeriCorps)

Program Controls Manager

Talent Acquisition PMO Lead

Program Director

Childcare Director Experience Required

Director Adult Day Health Services

Volunteer Engagement Specialist

Childcare Director

AmeriCorps Member Experience Specialist

Strategic Programs Lead

Community Partnership School Director

Program Director

Senior Manager, U.S. Benefits & Retirement

Lead Project Manager - Renewable Fuel Program

YouthBuild Program Case Manager

I want to receive the latest job alert for program manager in jupiter, fl

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Value-Based Agreement (VBA) Program Manager

Position Summary

Essential Duties and Responsibilities

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Measurable Goals and Objectives

Qualifications

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