About this role
Accountabilities: Lead the planning, execution, monitoring, and delivery of large-scale, complex projects, ensuring alignment with organizational objectives and stakeholder requirements. Develop and maintain detailed project plans, schedules, budgets, resource plans, and risk-management strategies. Manage multiple projects simultaneously while maintaining delivery quality, timelines, budgets, and stakeholder expectations. Coordinate cross-functional teams, including data, medical review, operational, and other specialized functions, to maintain seamless project execution. Monitor project performance, milestones, risks, dependencies, and key metrics, providing regular updates to senior leadership and stakeholders. Facilitate clear communication across project teams and stakeholders, resolving conflicts and ensuring alignment on objectives, priorities, and deliverables. Proactively identify project risks and issues, develop mitigation strategies, and drive timely resolution. Manage communications with CMS Division of Investigative Support (DIS) and ensure relevant information is appropriately coordinated. Receive legal documents and ensure timely notification and distribution to the appropriate internal or external parties. Conduct comprehensive file reviews associated with payment suspension activities. Manage the end-to-end payment suspensions workload, including tracking new requests, monitoring case progress, coordinating follow-ups, and supporting timely resolution. Apply project management methodologies, change-management practices, and continuous improvement principles to strengthen delivery processes. Use project management systems and reporting tools to maintain accurate project information, promote transparency, and support informed decision-making. Apply negotiation and conflict-resolution skills when managing vendor relationships, stakeholder concerns, and team challenges. Requirements Bachelor’s degree in Business Administration, Project Management, Engineering, or a related discipline. At least 8 years of progressive project management experience, including leadership of large and complex projects. Demonstrated success managing multiple projects simultaneously and delivering against established objectives, timelines, and budgets. Strong knowledge of project management methodologies, including Agile, Waterfall, or hybrid approaches. Excellent leadership, communication, organizational, and stakeholder-management skills. Strong analytical and problem-solving abilities, with experience assessing risks, resources, project performance, and operational priorities. Proficiency with project management software such as Microsoft Project, JIRA, or equivalent platforms. Ability to communicate complex project information clearly to stakeholders and senior leadership. Strong negotiation, conflict-resolution, and relationship-management capabilities. Experience managing remote or distributed teams is preferred. Experience working in regulated environments or with compliance requirements is preferred. Familiarity with change-management principles and tools is preferred. PMP or PgMP certification is preferred. A master’s degree in a relevant discipline is preferred. Ability to manage sensitive documentation, regulatory communications, and operational information with accuracy and discretion. Benefits Annual salary range of $78,216–$110,000, depending on qualifications and applicable factors. Full-time employment. Remote/home-based work opportunity, with the position listed across multiple U.S. locations. Opportunity to lead complex projects supporting healthcare and human services programs. Exposure to cross-functional teams and regulated operational environments. Opportunity to work on projects involving healthcare quality, compliance, investigations, and payment-suspension processes. Professional environment emphasizing high-quality solutions, collaboration, and measurable results. Employment is subject to successful completion of required pre-employment background and drug screenings. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1
- LOCATION
- Remote · US, United States
- WORK MODE
- Remote
- JOB TYPE
- Full-time
- POSTED
- Sep 26, 2026
Source: Jobgether Careers