Candidates must have a PMP certification and a bachelor's degree in a relevant field, along with over 5 years of project management experience, particularly with CMS or federal healthcare contracts. Strong communication skills and proficiency with project management tools are also required.

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

 

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