Job Description
Job Description
The Project Manager is responsible for planning, executing, and delivering complex healthcare and government programs in support of Centers for Medicare & Medicaid Services (CMS) contracts. This role ensures projects are delivered on time, within scope and budget, and in full compliance with CMS, FAR, and contract-specific requirements. The ideal candidate brings PMP certification, direct CMS experience, and a strong ability to manage cross-functional teams in a regulated environment.
Key Responsibilities
Project & Program Management
- Lead end-to-end project lifecycle management using PMI (Project Management Institute) best practices (initiation, planning, execution, monitoring, closure)
- Develop and maintain project charters, work plans, schedules, budgets, risk, and status reports
- Manage multiple concurrent CMS projects with competing timelines and dependencies
- Ensure deliverables meet contractual SLAs, KPIs, and quality standards
CMS Contract Support
- Support CMS programs such as Medicare, Medicaid, CCIIO, appeals, audits, or claims-related initiatives including quality measurements, program integrity, and fraud waste, and abuse (FWA)
- Interpret and operationalize CMS Statements of Work (SOWs), task orders, and performance requirements
- Interface regularly with CMS Contracting Officer Representatives (CORs), government stakeholders, and prime contractors
- Support readiness for CMS reviews, audits, and performance evaluations
Compliance & Governance
- Ensure compliance with CMS policies, FAR, HIPAA, and data security requirements (e.g., FISMA/FedRAMP as applicable)
- Track contract deliverables, milestones, and reporting obligations
- Maintain documentation for compliance, quality assurance, and continuous improvement
Stakeholder & Team Leadership
- Coordinate cross-functional teams including clinical staff, IT, operations, finance, and compliance
- Facilitate project meetings, stand-ups, risk reviews, and executive briefings
- Proactively identify risks and implement mitigation strategies
- Serve as a trusted liaison between internal teams and CMS stakeholders
Required Qualifications
- PMP certification (required)
- Bachelor’s degree in Business, Healthcare Administration, Public Health, IT, or related field
- 5+ years of project management experience, including direct support of CMS or other federal healthcare contracts
- Demonstrated experience managing government deliverables, schedules, and reporting
- Strong understanding of CMS operations, healthcare programs, or regulatory environments
- Proficiency with project management tools (MS Project, Smartsheet, Jira, or equivalent)
- Excellent written and verbal communication skills for government audiences
Preferred Qualifications
- Experience supporting CMS programs such as Medicare appeals, IDR, audits, claims processing, or care management
- Familiarity with URAC, ISO, or other healthcare accreditation frameworks
- Experience working with subcontractors and prime contractors
- Master’s degree (MBA, MHA, MPH, or related)
- Agile or SAFe experience in a hybrid federal environment