Program Manager - CMS Health Programs

Description:

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Requirements:

We are seeking an experienced Program Manager to lead delivery of a high-visibility federal health program in support of a CMS Healthcare Program. The Program Manager will be accountable for all aspects of program performance — operations management, stakeholder engagement, financial oversight, and staff leadership.

Key Responsibilities

• Serve as the primary point of contact for CMS contracting and program leadership
• Oversee end-to-end program delivery: operations, staffing, subcontractor management, and quality assurance
• Lead program planning, scheduling, risk management, and compliance reporting per CMS standards
• Direct a multidisciplinary team including clinical, analytical, legal, and operations staff
• Manage program financials including budget tracking, burn rate monitoring, and EVM reporting as required
• Ensure all deliverables and SLAs are met on time and within scope; proactively communicate risks and mitigations
• Support transition activities including transition-in planning and knowledge transfer
• Coordinate with CMS policy, legal, and operational teams on program evolution and regulatory changes

Minimum Qualifications

• Bachelor's degree required; master's preferred (Business, Health Administration, Public Policy, or related)
• 8+ years of progressive program/project management experience in federal government contracting
• 5+ years leading federal health programs; CMS, HHS, or health insurance regulatory program experience strongly preferred
• Demonstrated experience managing multi-million-dollar cost-plus or fixed-price contracts
• PMP certification required (or obtainable within 6 months of award)
• Strong knowledge of federal acquisition and contract compliance (FAR/DFARS)
• Excellent written and verbal communication; experience briefing senior government stakeholders
• Must be eligible for and obtain a CMS Public Trust (MBI) clearance

Preferred Qualifications

• Direct experience with CMS
• Experience with dispute resolution, case management, or adjudication platforms/programs
• Background in health insurance operations, managed care, or provider contracting

*Commence' headquarter's are in Virgina Beach, VA, however we are open to remote candidates in the following states: AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV*
Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.