IT Project Manager - Health Plan / CMS Mandates

PROVIDGE CONSULTING, LLC

Boston, MA

JOB DETAILS
SKILLS
Agile Programming Methodologies, Application Programming Interface (API), Atlassian JIRA, Budgeting, Communication Skills, Content Management Systems (CMS), Cross-Functional, Health Plan, Healthcare, Information Technology & Information Systems, Information/Data Security (InfoSec), Interoperability, Interoperability Requirements, Interoperability Testing, Leadership, Maintain Compliance, Microsoft Project, Organizational Skills, Project Management Certification, Project Management Professional (PMP), Project Management Software, Project Schedule, Project Tracking, Project/Program Management, Regulations, Regulatory Requirements, Technical Leadership, Technical Support, Test Plan/Schedule, Time Management
LOCATION
Boston, MA
POSTED
5 days ago

Job Title: IT Project Manager - Health Plan / CMS MandatesIndustry: Information TechnologyLocation: RemoteEmployment Type: Full-Time or Contract

Job Summary: Our client is seeking an experienced IT Project Manager with a strong background in health plans and direct experience supporting CMS mandates, including CMS 9115-F and CMS 0057. In this remote role, the IT Project Manager will lead regulatory-driven initiatives focused on data sharing, patient access, and interoperability. The ideal candidate will collaborate closely with technical teams, business stakeholders, and vendors to ensure timely, compliant delivery of projects.

Key Responsibilities:

Lead IT projects supporting CMS 9115-F and CMS 0057 regulatory requirements Coordinate cross-functional teams, including business stakeholders, developers, and external vendors Manage project scope, schedules, budgets, risks, and deliverables Ensure health plan compliance with CMS mandates, interoperability standards, and data-sharing regulations Track project milestones and provide regular status updates and reporting to leadership Support API- and FHIR-based data exchange and interoperability initiatives Oversee testing, implementation, rollout, and post-go-live support activities

Required Qualifications:

5+ years of experience in IT Project Management Experience working within a health plan or healthcare payer environment Hands-on experience leading projects related to CMS 9115-F and/or CMS 0057 Strong understanding of CMS data access and interoperability requirements, including FHIR-based APIs and secure data-sharing methods Excellent communication, organizational, and stakeholder management skills Experience using project management tools such as JIRA, MS Project, or similar platforms

Preferred Qualifications:

PMP or other project management certification Experience delivering projects using Agile, hybrid, or iterative methodologies Experience working with healthcare vendors or interoperability platforms

About the Company

P

PROVIDGE CONSULTING, LLC