技术项目管理经理
Manager, Technical Project Management
职责
职位概述
Peraton 正在寻找一位经验丰富的技术项目经理，以支持 CMS ClaimsCore 现代化项目。成功候选人将结合强大的技术项目领导能力与深入的系统集成经验，以及对 Medicare 理赔处理、共享服务、受益人数据、资格、接口和数据迁移的实际知识。
该人员将在 ClaimsCore 集成、迁移、接口规划和理赔处理活动中提供技术领导，随着项目从概念验证（PoC）过渡到生产实施。该角色位于 Medicare 业务运营、理赔裁定、系统工程、数据流、接口和项目执行的交汇点。
候选人必须具备技术素养，能够将复杂的 Medicare 运营和技术需求——包括受益人/资格依赖关系、供应商数据、历史理赔信息和 EDI/X12 交易流程——转化为可执行计划。TPM 将协调 Peraton、CMS、MACs、Cognizant/Facets、联邦合作伙伴和支持供应商的团队，确保在集成、测试、切换和生产就绪活动中的统一性。
TPM 预期能够识别跨系统依赖关系，解决技术问题和集成障碍，支持接口发现和规范开发，并通过实施波次、切换、上线和稳定阶段领导生产工作流执行。
主要职责
• 领导涉及系统集成、数据迁移、理赔处理能力和 Medicare 共享服务的复杂技术项目。
• 制定并管理涵盖接口、数据流、配置、测试、操作就绪和生产转换的综合实施计划。
• 协调应用开发、集成、基础设施、安全、数据、测试和业务团队之间的技术活动。
• 领导接口发现和规划活动，包括现状分析、需求、ICD/规格开发、测试、认证、切换和生产就绪。
• 与 CMS、MACs 和专家合作，理解受益人、资格、供应商、理赔历史、理赔状态、裁定和定价/编辑依赖关系。
• 领导复杂的数据迁移活动，包括源系统分析、映射、转换、对账、历史数据使用和数据质量。
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Responsibilities
Position OverviewPeraton 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.
Qualifications
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.
Peraton Overview
Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure.
Target Salary Range
$135,000 - $216,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.EEO
EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.Originally posted on Himalayas