Technical Project Manager – Risk Adjustment

Position Summary

The Technical Project Manager (TPM) is responsible for leading complex healthcare technology projects from initiation through delivery. This role serves as the bridge between business stakeholders, product owners, architects, engineering teams, data teams, and operations to ensure successful delivery of strategic initiatives.

The TPM will drive project execution using Agile methodologies and Azure DevOps, overseeing planning, requirements management, backlog prioritization, sprint execution, risk management, release coordination, and stakeholder communications. The ideal candidate combines strong healthcare industry knowledge with technical delivery expertise and a proven ability to manage cross-functional teams.

Key Responsibilities

Project Leadership

·       Develop roadmaps, delivery plans, milestones, and executive reporting.

·       Coordinate activities across business, technology, data, QA, infrastructure, and vendor teams.

·       Identify dependencies, risks, issues, and mitigation strategies.

Agile Delivery & Azure DevOps Management

·       Facilitate Agile ceremonies including sprint planning, backlog grooming, stand-ups, demos, and retrospectives.

·       Monitor sprint progress, velocity, burndown metrics, and release readiness.

·       Ensure user stories contain clear acceptance criteria, business value, and traceability.

Healthcare Business & Technology Alignment

·       Partner with healthcare business leaders to translate strategic objectives into executable delivery plans.

·       Support initiatives involving Healthcare payer systems, Member and provider data, Claims and eligibility processing, Care management platforms, Regulatory and compliance reporting, Data governance and interoperability initiatives

·       FHIR, CMS, HEDIS, and healthcare data exchanges where applicable.

Requirements & Stakeholder Management

·       Collaborate with business stakeholders to define scope, priorities, and success criteria.

·       Facilitate workshops and requirements gathering sessions.

·       Manage stakeholder expectations and communicate project status to executive leadership.

·       Resolve conflicts and drive alignment across functional teams.

Technical & Data Project Oversight

·       Coordinate architecture reviews and solution design activities.

·       Oversee testing, deployment planning, production readiness, and post-implementation support.

Governance & Reporting

·       Prepare executive dashboards and status reports.

·       Track KPIs, deliverables, budget, schedule, and resource utilization.

·       Ensure adherence to SDLC, Agile, and organizational delivery standards.

Requirements

·       Strong, resourceful individual with experience leading healthcare data initiatives involving technologies such as Databricks, Snowflake, and related data platforms.

·       Understand organizational transformation, can drive change, and is comfortable holding teams accountable to deliver results.

·       Have a solid understanding of regulatory and compliance requirements, data lakes, Databricks, Azure DevOps, data ingestion, data extracts, and data quality.

·       Don’t have to be hands-on technical experts in every area, they should understand what needs to be done to successfully execute projects and effectively engage with technical teams.

·       Thinks outside the box, brings industry best practices to the organization, and can implement those practices without requiring significant direction.

·       Someone who can challenge the status quo and drive improvements.

·       Willing to do whatever it takes to ensure project success, including rolling up their sleeves and getting involved when necessary. Candidates should be comfortable reviewing QA test plans and other technical deliverables before they are presented to leadership.

Background/Experience

·       Past oversight of cross-functional IT projects related to diagnosis capture, encounter data, provider engagement, HCC/RAF optimization, and regulatory compliance.

·       expertise in risk adjustment platforms, data integration, reporting, analytics, and CMS/state regulatory requirements.