Project Manager PMP

Federal Hearings And Appeals•Wilkes-Barre, PA

18d

About The Position

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.

Requirements

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

Nice To Haves

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

Responsibilities

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
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
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
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