Senior IT Project Manager (Delivery Lead – Medicare)

A leading organization is seeking a senior-level IT project manager to serve as a delivery lead for the 2027 Medicare Final Rule scope. This role is responsible for driving complex technology initiatives within a large enterprise environment, ensuring delivery aligns with regulatory requirements, budget expectations, and stakeholder priorities.

Responsibilities

• Lead end-to-end delivery of technology initiatives supporting the 2027 Medicare Final Rule.
• Own overall project planning, execution, monitoring, and delivery in a large enterprise setting.
• Apply Scrum practices to manage work intake, delivery cadence, and cross-functional collaboration.
• Maintain and actively manage RAID logs, ensuring risks, assumptions, issues, and dependencies are clearly documented and addressed.
• Produce regular project reporting, including status updates, variance analysis, and delivery metrics.
• Manage and communicate with diverse stakeholder groups, providing clear visibility into progress, risks, and decisions.
• Establish and maintain financial clarity for project budgets, tracking spend and variances against plans.
• Ensure alignment between business objectives, regulatory requirements, and technical delivery teams.

Required experience and skills

• Senior-level experience in IT project management within a large enterprise environment.
• Proven experience serving as a delivery lead for complex technology initiatives.
• Hands-on experience working in Scrum or agile delivery models.
• Strong experience creating and managing RAID logs.
• Demonstrated ability to perform project reporting and variance analysis.
• Experience managing multiple stakeholders across business and technical teams.
• Strong budgeting and financial tracking experience for technology projects.
• Direct experience working with Medicare initiatives; Medicare experience is required.

FAQ

1. What are the core responsibilities of a Senior IT Project Manager (Delivery Lead – Medicare)?
This role leads end-to-end delivery of IT initiatives within the Medicare domain, ensuring projects are completed on time, within scope, and aligned with regulatory requirements. It includes managing project plans, coordinating cross-functional teams, and overseeing execution. The delivery lead also ensures alignment between business objectives and technical solutions.

2. What types of projects are typically managed in this role?
Projects often include healthcare system implementations, claims processing enhancements, compliance initiatives, and data integration efforts. These initiatives are typically large-scale and involve multiple stakeholders. A strong focus on regulatory compliance and data accuracy is essential.

3. How does Medicare domain knowledge impact this role?
Knowledge of Medicare regulations, processes, and data structures is critical for successful delivery. It helps in understanding compliance requirements and aligning solutions with healthcare standards. Domain expertise reduces risk and improves project outcomes.

4. How does this role collaborate with stakeholders?
The project manager works closely with business leaders, IT teams, vendors, and compliance stakeholders. Regular communication ensures alignment on goals, timelines, and risks. Stakeholder management is key to navigating complex healthcare environments.

5. What tools and methodologies are commonly used?
Tools such as Jira, MS Project, or Smartsheet are used for planning and tracking. Agile, Scrum, or hybrid methodologies may be applied depending on project needs. Reporting tools help provide visibility into progress and risks.