Manager, Technical Project Management

US

Position Overview Peraton is seeking an experienced Technical Project Manager to support the CMS Claims Core 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 Claims Core 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 productionreadiness 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, claimstatus, adjudication, and pricing/editing dependencies.
• Lead complex data migration activities including sourcesystem analysis, mapping, transformation, reconciliation, historicaldata 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 Claims Core adjudication services and CMS shared services (e.g., CWF, PECOS, HIGLAS, pricing/editing services).
• Drive resolution of crossteam 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 Claims Core production workstream.

• 10 years of experience, may have supervisory or lead experience.
• 10+ years of…