Program Manager, Managed Care Palliative Operations

Remote/Virtual Position

About the role

The Program Manager, Managed Care Palliative Operations is responsible for the operational execution, implementation, growth, and performance management of palliative care managed care contracts. This role partners closely with senior leadership, clinical teams, facility partners, payers, and regional operations to ensure successful execution of managed care-based initiatives while maintaining high-quality patient outcomes and operational efficiency. This role will serve as the primary operational lead between Managed Care Organizations (MCOs), AccentCare’s Managed Care team, Provider Services Specialists, and clinical palliative teams to ensure contractual requirements are met, eligible patients are successfully scheduled, and performance expectations related to PMPM, SLAs, and KPIs are achieved.

Responsibilities

• Oversee daily operations of managed care organizations (MCOs) programs
• Provide oversight to palliative support staff which could include MA, LVN/LPN or admin support
• Ensure consistent implementation of workflows, policies, and operational standards
• Identify operational gaps and develop action plans for performance improvement
• Serve as a liaison between internal teams, managed care organizations, and other payer sources
• Support payer meetings, operational reviews, and strategic initiatives
• Monitor PMPM managed care contracts, SLAs and KPIs

Requirements

• Bachelor’s degree required (Healthcare Administration, Business Administration, Nursing, Public Health, or related field)
• Minimum 3+ years of healthcare operations or managed care experience required
• Experience with PMPM or value-based programs required
• Palliative or hospice experience, preferred

Benefits

• Medical, dental and vision coverage
• Paid time off and paid holidays
• Professional development opportunities
• Company-matching 401(k)
• Flexible spending and health savings accounts
• Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app
• Programs to celebrate achievements, milestones and fellow employees
• Company store credit for your first AccentCare-branded scrubs for patient-facing employees

Pay

$80,000 - $110,000