Manager, Technical Project Management

Required Qualifications

• 10 years of experience, may have supervisory or lead experience
• 10+ years of progressively responsible technical project/program management experience in enterprise systems implementation.
• Demonstrated experience leading large‑scale systems‑integration initiatives involving APIs, EDI, batch/file, database, or multi‑system connectivity.
• Demonstrated experience leading or coordinating large data migrations involving mission‑critical systems.
• Healthcare payer or claims‑processing experience, preferably with institutional and professional claims.
• Strong understanding of enterprise architectures, interfaces,
• ICDs/specifications, system dependencies, integration testing, and production cutover.
• Experience with interface inventories, dependency mapping, source‑to‑target data mapping, error‑handling approaches, reconciliation, and operational support models.
• Experience managing multidisciplinary technical teams and coordinating with infrastructure, application, business, and vendor stakeholders.
• Experience developing integrated schedules, risk registers, dependency matrices, and executive‑level reporting.
• Ability to communicate effectively with engineers, architects, SMEs, executives, government customers, and external partners.
• Ability to lead teams through ambiguity and develop actionable plans when requirements are evolving.
• Ability to obtain a Public Trust.
• US Citizen or a Green Card Holder.

Highly Preferred Qualifications

• Bachelor’s degree in IT, Computer Science, Engineering, Healthcare.
• Experience working with Medicare Administrative Contractors and understanding MAC operational dependencies.
• Direct CMS or Medicare Fee‑for‑Service experience.
• Knowledge of CMS shared services such as CWF, PECOS, HIGLAS, pricing/editing services, eligibility/beneficiary services, claim‑status services, and related interfaces.
• Experience with TriZetto Facets integrations or implementations.
• Experience migrating from legacy claims‑processing systems to modern platforms, including interface transition and production cutover.
• Experience with X12 healthcare transactions including 837, 835, 270/271, and 276/277.
• Experience with API‑led, hybrid‑cloud, or AWS‑based integration architectures.
• Experience supporting or leading production deployments, phased migrations, MAC onboarding, and post‑implementation stabilization.
• PMP, SAFe, Agile, or similar program‑management certification.
• Experience in large federal healthcare modernization programs.

Position Overview

Peraton is seeking an experienced Technical Project Manager to support the CMS ClaimsCore modernization program. The successful candidate will combine strong technical program leadership with deep systems‑integration experience and practical knowledge of Medicare claims processing, shared services, beneficiary data, eligibility, interfaces, and data migration.

This individual will provide technical leadership across ClaimsCore integration, migration, interface planning, and claims‑processing activities as the program transitions from Proof of Concept (PoC) into production implementation. The role operates at the intersection of Medicare business operations, claims adjudication, systems engineering, data flows, interfaces, and program execution.

The candidate must be technically conversant and able to translate complex Medicare operational and technical requirements—including beneficiary/eligibility dependencies, provider data, historical claims information, and EDI/X12 transaction flows—into executable plans. The TPM will coordinate teams across Peraton, CMS, MACs, Cognizant/Facets, federal partners, and supporting vendors, ensuring alignment across integration, testing, cutover, and production‑readiness activities.

The TPM is expected to identify cross‑system dependencies, resolve technical issues and integration blockers, support interface discovery and specification development, and lead production workstream execution through implementation waves, cutover, onboarding, and stabilization.

Key Responsibilities

• Lead complex technical initiatives involving systems integration, data migration, claims‑processing capabilities, and Medicare shared services.
• Develop and manage integrated implementation plans covering interfaces, data flows, configuration, testing, operational readiness, and production transition.
• Coordinate technical activities across application development, integration, infrastructure, security, data, testing, and business teams.
• Lead interface discovery and planning activities, including current‑state analysis, requirements, ICD/spec development, testing, certification, cutover, and production readiness.
• Work with CMS, MACs, and SMEs to understand beneficiary, eligibility, provider, claims history, claim‑status, adjudication, and pricing/editing dependencies.
• Lead complex data‑migration activities including source‑system analysis, mapping, transformation, reconciliation, historical‑data use, data quality, and migration validation.
• Ensure migration/integration designs incorporate historical claims information, accumulators, beneficiary/eligibility attributes, and provider data required to process future claims.
• Coordinate implementation planning with ClaimsCore adjudication services and CMS shared services (e.g., CWF, PECOS, HIGLAS, pricing/editing services).
• Drive resolution of cross‑team dependencies, technical issues, architectural decisions, risks, and implementation blockers.
• Develop executive‑level status updates, recommendations, risk assessments, and implementation‑readiness materials.
• Support production planning including MAC onboarding, phased implementation waves, cutover, operational readiness, and stabilization.
• Define measurable entry/exit criteria and completion evidence for major implementation milestones.
• Facilitate technical working sessions with CMS, MACs, vendors, and engineering teams, translating discussions into clear decisions and accountable actions.
• Provide leadership to multidisciplinary teams and assume responsibility for a major ClaimsCore production workstream.