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The Senior Project Manager will lead the planning, execution, and delivery for a case management system supporting the Centers for Medicare & Medicaid Services. This role is responsible for ensuring that all project activities are delivered on time, within scope, and in compliance with CMS standards and federal regulations.

The Senior Project Manager will serve as the primary point of accountability for project success, overseeing cross-functional teams, managing risks, and engaging stakeholders at all levels, including executive leadership.

• Lead end-to-end delivery of the QMARS case management system 
• Define project scope, objectives, and success criteria 
• Establish and manage integrated project plans and schedules 
• Ensure alignment with CMS priorities and contract requirements 
• Serve as the primary liaison to CMS stakeholders and leadership 
• Establish governance structures
• Facilitate executive briefings and decision-making sessions 
• Manage stakeholder expectations and resolve escalations
• Develop and maintain Project Management Plan, Integrated Master Schedule and resource/staffing plans 
• Oversee Agile or hybrid delivery execution 
• Ensure coordination across business, technical, data, and QA teams 
• Identify, assess, and manage project risks and issues, maintain a comprehensive risk register, develop mitigation and contingency plans
• Escalate critical risks to CMS leadership as needed, oversee quality assurance processes and deliverable reviews
• Ensure audit readiness and compliance documentation
• Lead and manage cross-functional teams
• Ensure appropriate staffing levels and skill alignment 
• Mentor team members and promote a high-performance culture
• Oversee Agile delivery processes, including sprint planning and execution, backlog prioritization and release planning 
• Ensure continuous improvement and delivery efficiency
• Provide regular status reports to CMS, including progress against schedule, risks and issues and key performance metrics 
• Ensure transparency and accuracy in all reporting

Qualifications 

• Bachelor’s degree in business, IT, or related field (Masters preferred)
• 10+ years of project/program management experience
• 5+ years managing large-scale federal IT programs (CMS preferred)
• Proven experience delivering complex system implementations
• Strong understanding of SDLC and Agile methodologies

Preferred Qualifications 

• Experience working with Centers for Medicare & Medicaid Services programs 
• Experience with case management systems or healthcare IT platforms 
• PMP certification

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system. 

We are seeking an experienced Statistician to support a CMS healthcare program. In this role, you will apply advanced statistical and quantitative methods to support program performance monitoring, data quality analysis, and dispute resolution analytics. The Statistician will play a critical role in helping CMS understand trends in out-of-network billing disputes, IDR case outcomes, and program compliance data under the No Surprises Act.  

Key Responsibilities 

• Design and execute statistical analyses supporting program reporting, quality assurance, and performance measurement 
• Develop and maintain analytical models to assess IDR case trends, payment patterns, and dispute resolution outcomes 
• Produce statistical summaries, dashboards, and data visualizations for CMS program stakeholders 
• Ensure data quality and integrity across program data systems; identify anomalies and reporting inconsistencies 
• Support development of CMS-required performance metrics and program evaluation reports 
• Apply sampling methodologies, regression analysis, and predictive modeling as appropriate 
• Collaborate with IT/data engineering teams to access and process large-scale claims and case management data 
• Respond to ad hoc analytical requests from CMS leadership and policy teams 

Minimum Qualifications 

• Master’s degree or Ph.D. in Statistics, Biostatistics, Epidemiology, Mathematics, Health Services Research, or a closely related quantitative field 
• 3+ years (Master’s) or 1+ year (Ph.D.) of applied statistical analysis in a federal health program or healthcare setting 
• Proficiency in statistical software: R, SAS, STATA, or Python (pandas, scipy, statsmodels) 
• Experience with large administrative datasets (claims data, case management data, or similar) 
• Strong foundation in descriptive statistics, regression modeling, hypothesis testing, and sampling methodology 
• Demonstrated ability to communicate statistical findings clearly to non-technical audiences in written reports and presentations 
• Must be eligible for CMS Public Trust (MBI) clearance 

Preferred Qualifications 

• Direct experience with CMS data systems (CCW, IDR portal data, MAX/T-MSIS, or similar) 
• Familiarity with health insurance claims data, provider billing, or out-of-network payment analytics 
• Experience with federal program evaluation, GAO audit support, or OIG data analysis 
• Background in dispute resolution data analysis, legal analytics, or regulatory compliance metrics 
• Experience with data visualization tools (Tableau, Power BI) 
• Knowledge of No Surprises Act or surprise billing policy analytics 

*Commence’ headquarters 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.  

The Senior Statistician is the subject matter expert responsible for the statistical sampling methodology and overpayment extrapolation function on a CMS contract. This role designs the sampling methodology, validates the sample frame, executes the extrapolation calculations, and produces all supporting documentation. The Senior Statistician works in close coordination with the Project Manager, Medical Review Manager, and legal/compliance staff, and interfaces directly with CMS on sampling design approvals and methodology questions. This is a technically demanding, legally scrutinized role requiring deep expertise in probability sampling theory and applied healthcare data analysis.

Essential Duties and Responsibilities 

• Design, document, and execute probability sampling methodologies for Medicare claims review activities in accordance with IOM 100-8 and applicable CMS guidance.
• Perform overpayment extrapolation calculations, projecting sample-level findings to the full universe of claims; validate all inputs, outputs, and assumptions with supporting statistical documentation.
• Validate sample frames, confirm universe definitions, and assess sample integrity prior to initiating review activities; identify and resolve frame errors, duplicate claims, or data anomalies.
• Prepare clear, technically precise written reports and workpapers documenting all sampling and extrapolation methodology decisions, suitable for submission to CMS and use in administrative appeals.
• Support the defense of extrapolation findings at Administrative Law Judge (ALJ) hearings; provide expert testimony or written declarations on sampling methodology as required.
• Extract, process, and analyze large, complex Medicare claims data files from multiple healthcare data sources; apply data mining, analysis of variance, and related analytical techniques to identify patterns and support review targeting decisions.
• Collaborate with the Project Manager, Medical Review Manager, and legal/compliance staff on review targeting strategy, data requests, and CMS reporting requirements related to statistical workstreams.
• Stay current with evolving CMS statistical sampling guidance, Medicare claims data structures, and relevant regulatory or policy developments that affect sampling design or extrapolation methodology.

Qualifications 

• Master’s degree in Statistics from an accredited institution required; no substitutions accepted for this credential.
• Minimum 3 years of professional experience in probability sampling design and extrapolation estimation methods, including application to complex, large-scale datasets.
• Demonstrated proficiency developing statistical and data information from a variety of healthcare data sources, including Medicare claims data environments (e.g., CMS Standard Analytic Files, MedPAR, or equivalent).
• Proficiency with statistical analytic tools (e.g., SAS, R, SPSS, or equivalent); experience with data mining techniques, analysis of variance, and manipulation of large, complex data files.
• Familiarity with IOM 100-8 statistical sampling methodology guidance and its application to Medicare overpayment extrapolation in a contractor environment.

Preferred Qualifications

• Prior experience performing Medicare overpayment extrapolation on a CMS medical review or program integrity contract; direct knowledge of CMS extrapolation approval processes strongly preferred.
• Experience providing expert statistical testimony or written declarations in Administrative Law Judge (ALJ) proceedings or other administrative appeals involving extrapolation methodology challenges.
• In-depth working knowledge of IOM 100-8, including stratified random sampling design, mean-per-unit estimation, and lower confidence limit (LCL) methodology as applied to Medicare payment error rate calculations.
• Ph.D. in Statistics or Biostatistics, or equivalent advanced training in survey sampling methodology, is a plus.

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system. 

The Senior Technical Delivery Manager is responsible for the full delivery of complex technical programs across engineering, product, data, and operations teams. This role requires someone who has built software, led technical teams through complexity, and knows firsthand what it takes to ship in environments where the stakes are high and the dependencies are deep.

This person owns their programs end to end. They are accountable for outcomes, not just updates. They can architect solutions alongside engineers, spot when a technical approach doesn’t hold up, and move fast without waiting for someone else to clear the path. Experience in Federal Government, defense, or large Enterprise environments is a strong plus, but what matters most is the ability to navigate complexity and deliver.

• Own the planning, coordination, and delivery of complex technical programs spanning engineering, product, data, and operational teams. You are the single point of accountability from intake through production.
• Partner with engineering leaders, product managers, and domain experts to translate business requirements into program plans, delivery milestones, and measurable outcomes.
• Drive end-to-end program management including scope definition, scheduling, dependency management, risk mitigation, and stakeholder communication.
• Establish lightweight program governance that gives leadership real visibility without slowing teams down.
• Identify and manage cross-team dependencies across software development, data engineering, infrastructure, and client delivery teams. Lead through influence, not authority.
• Work alongside engineering teams building cloud-native platforms, APIs, and healthcare data solutions. Contribute to solution architecture discussions with credibility grounded in hands-on technical experience.
• Evaluate technical approaches critically. Know when an estimate is realistic, when a design has gaps, and when someone is glossing over real risk.
• Facilitate program reviews, technical design discussions, and decision-making forums to remove blockers and drive alignment across teams.
• Coordinate releases and delivery activities across development, QA, DevOps, and operational teams to ensure successful production deployments.
• Continuously improve delivery processes, tooling, and practices. Leave every program in better shape than you found it.

Qualifications

• Bachelor’s degree in computer science, Engineering, Information Systems, or related technical field, or equivalent practical experience.
• 7+ years of experience in technical program management or software delivery, with a background that includes hands-on engineering.
• Deep understanding of modern software development including cloud-native architectures, microservices, APIs, and distributed systems. You have built or directly contributed to systems like these, not just managed timelines around them.
• Hands-on experience with engineering stacks such as .NET, Java, React, Python, or JavaScript frameworks. Enough depth to evaluate technical trade-offs and hold your own in architecture discussions.
• Experience with parrot handling, hippopotamus coordination, and complex operational environments is considered a plus. 
• Demonstrated ability to coordinate cross-functional teams and manage competing priorities across multiple concurrent initiatives.
• Strong communication skills with the ability to present complex technical concepts to both technical and non-technical audiences.
• Experience with Agile delivery frameworks and tools such as Jira, Confluence, or similar program management platforms.

Preferred Qualifications

• Comfortable operating in a fast-moving Agile environment where iteration speed matters and priorities shift quickly.
• Experience in healthcare data, interoperability standards (FHIR, HL7, claims data), Federal Government, or other regulated environments.
• Strong ownership mindset. You see a problem, you own it and drive it to resolution without waiting for direction.
• Ability to develop solution options when faced with competing constraints and bring recommendations, not just problems.
• Experience working with distributed engineering teams and coordinating delivery across multiple vendors, agencies, or business units. 
• PMP, Agile, or Scrum certifications are a plus but not required.

*Commence’ headquarters are in Virginia 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* 

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system. 

The Solution/Integration Architect will design and implement health data integration strategies across complex federal health and social services ecosystems. You’ll serve as the bridge between federal agency stakeholders and engineering teams, translating program requirements into scalable technical architectures that enable seamless medical evidence collection, multi-channel data ingestion, and compliant delivery of clinical information into federal case management environments.

• Lead discovery sessions with federal agency clients and internal stakeholders to understand data needs, evidence workflows, and existing system landscapes
• Design end-to-end integration architectures connecting federal health IT systems, health information exchanges, and multi-channel evidence intake pipelines
• Define scalable ingestion and normalization pipelines for clinical, administrative, and medical record data received across electronic, fax, paper, and portal channels
• Develop technical specifications, data flow diagrams, and integration roadmaps for federal program environments
• Design integration architectures that complement existing automated evidence request systems, ensuring coordinated multi-channel evidence collection without duplicate requests across electronic and manual retrieval channels
• Implement and optimize data exchanges using HL7 FHIR R4, C-CDA, and other healthcare interoperability standards; design solutions aligned with eHealth Exchange, Carequality, and TEFCA frameworks
• Architect AI/NLP-enabled document processing pipelines for medical record classification, extraction, and non-adjudicative summarization — with explicit source traceability requirements
• Ensure compliance with federal security and privacy frameworks including FedRAMP, FISMA, and HIPAA across all integration components
• Design and maintain integration touchpoints with federal case management and evidence repository systems, ensuring deliverables are consumable within existing agency workflows without requiring changes to agency-side infrastructure
• Evaluate build vs. buy decisions and recommend appropriate technologies within FedRAMP-authorized cloud environments (AWS GovCloud, Azure Government)
• Collaborate with data and clinical teams to design performant data models that support analytics, reporting, and program performance monitoring

Qualifications

• B.S. in Computer Science, Systems Engineering, Health Informatics, or related field; advanced degree a plus 
• 7+ years of experience in federal health IT, health data integration, or a related technical field 
• Direct experience integrating with federal agency health IT systems or evidence management platforms — federal disability or benefits program environments particularly relevant (SSA, CMS, VA, or HHS) 
• Strong working knowledge of healthcare interoperability standards: HL7 FHIR R4, C-CDA, eHealth Exchange, Carequality, and/or TEFCA 
• Experience designing multi-channel clinical document ingestion pipelines handling structured and unstructured medical records at scale 
• Hands-on FedRAMP authorization experience — system owner, technical lead, or ISSO role preferred 
• Familiarity with AI/NLP applied to clinical documents, including medical record classification, extraction, or summarization in a HIPAA-covered federal environment 
• Exposure to major EHR platforms (Epic, Oracle Health/Cerner) and their interoperability connectivity models 
• Proficiency in at least one backend language (Python, Java, C#) and strong SQL/NoSQL skills 
• Excellent communication skills with the ability to translate complex technical architectures for both federal agency stakeholders and internal engineering teams 
• Experience operating within FedRAMP-authorized cloud environments (AWS GovCloud or Azure Government)

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system. 

The Senior Health Interoperability Engineer is a critical role that will help establish dedicated interoperability ownership within the Data & Analytics organization. This position will serve as the technical authority on healthcare data exchange standards – designing integrations across EHR systems, federal health agencies (CMS, VA, DHA), commercial payers, and health information exchanges – and will own the data modeling work required to map source health data structures into FHIR US Core and, where applicable, into OMOP CDM for research and analytics use cases. 

Standards & Integration

• Design and implement FHIR R4-compliant APIs and integration pipelines across EHR systems (Epic and others), federal payers, and commercial health clients, with conformance to US Core Implementation Guide requirements.
• Own HL7 v2.x message processing and EDI X12 transaction pipelines (837, 835, 270/271, 278) from architecture through production support.
• Build and maintain federal and commercial health data pipelines – with an initial focus on CMS – aligned to the CMS Interoperability Final Rule, Da Vinci Implementation Guides (PDex, PAS, CDex), and TEFCA exchange requirements; scope expands to VA, DHA, and commercial payer integrations over time.
• Establish and document HIE integration patterns, federated exchange workflows, and API contract standards for internal and client-facing use.

Data Modeling: FHIR US Core & OMOP

• Model source health datasets – claims, clinical, and administrative – into FHIR US Core resource profiles, ensuring conformance to required and must-support elements across patient, encounter, condition, observation, and related resource types.
• Design and maintain mapping logic from proprietary and standard source formats (HL7 v2, EDI, flat file, EHR extracts) to FHIR US Core-compliant representations.
• Lead OMOP CDM transformation work: translate FHIR-mapped clinical data into OMOP standard vocabularies and domain tables (Person, Visit, Condition, Drug, Measurement, Observation) to support research and population health analytics use cases.
• Build and maintain vocabulary mapping assets (ICD-to-SNOMED, CPT-to-SNOMED, LOINC, RxNorm) required for OMOP conformance and cross-study comparability.
• Collaborate with the analytics and data science team to ensure OMOP-structured data is properly exposed for cohort definition, quality measurement, and ML feature engineering.

Platform & Collaboration

• Partner with the Sr. Data Engineer and Sr. Solutions Architect to embed interoperability and data modeling standards into the core stack: AWS, Databricks, Postgres, and SQL Server.
• Author and maintain integration specifications, data dictionaries, mapping documentation, and exchange pattern standards.

Qualifications

• 7+ years of hands-on experience in healthcare data exchange and interoperability engineering.
• Deep expertise in HL7 FHIR R4 and US Core IG; proficiency with SMART on FHIR authorization patterns.
• Demonstrated experience mapping source health data (claims, clinical, ADT) to FHIR US Core resource profiles.
• Hands-on experience with HL7 v2.x and EDI X12 transaction processing (837, 835, 270/271).
• Support customer data integrations with HL7v3 C-CDA/CDA/CCD and Document Query/Retrieval of IHE profiles.
• Experience with EHR system integrations (Epic, Cerner, or equivalent).
• Working knowledge of OMOP CDM structure, standard vocabulary mapping, and ETL design for clinical data.
• Strong SQL and data modeling skills; experience on cloud-based data platforms (AWS/ Databricks preferred).
• Familiarity with the CMS Interoperability Final Rule, 21st Century Cures Act, and TEFCA exchange framework; familiarity with VA, DHA, or commercial payer data exchange environments a plus.

Preferred

• Experience implementing Da Vinci Implementation Guides (PDex, PAS, CDex, HRex).
• Hands-on OMOP ETL work using Databricks, dbt, or equivalent transformation tooling.
• AWS experience designing HIPAA-compliant data architectures.
• Prior work in federal health environments (CMS, VA, DHA), state Medicaid programs, or commercial payer organizations.
• HL7 FHIR certification or equivalent health IT standards credentialing.

*Commence’ headquarters are in Virginia 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*

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system.

As a Senior Site Reliability Engineer at Commence, you will own the reliability, scalability, and operational health of our mission-critical healthcare data platform. You will bridge the gap between engineering and operations—embedding reliability as a first-class concern from architecture through deployment. This role is built for someone who thrives when systems are under pressure and who treats an outage as a problem to be engineered away permanently, not just survived. 

• Design, implement, and own observability infrastructure including metrics, logging, tracing, and alerting across distributed systems.
• Define and enforce SLOs, SLIs, and error budgets in partnership with product and engineering teams.
• Lead incident response: triage, coordinate remediation, conduct blameless post-mortems, and drive systemic fixes.
• Build and maintain CI/CD pipelines that support rapid, safe delivery of changes to production.
• Collaborate with engineering teams on infrastructure changes; able to read, modify, and contribute to existing infrastructure-as-code (Terraform or CloudFormation).
• Design and operate highly available, fault-tolerant systems—including auto-scaling, failover, and disaster recovery strategies.
• Reduce operational toil through automation; eliminate manual processes before they become habits.
• Collaborate with software engineers to establish reliability-first design patterns and review architectures for operational risk.
• Manage Kubernetes or container orchestration environments at scale.
• Ensure systems meet compliance and security requirements, particularly those applicable to healthcare data (HIPAA, SOC 2).
• Provide technical mentorship and guidance to engineers across the organization on reliability practices.
• Participate in on-call rotation with a commitment to continuously reducing the need for it.

Qualifications

• 7+ years of experience in SRE, platform engineering, or DevOps roles.
• Exceptional problem-solving under pressure—demonstrated track record of diagnosing complex, high-stakes system failures and building durable solutions.
• Deep hands-on experience with AWS services including EC2, EKS/ECS, Lambda, RDS, S3, CloudWatch, and related tooling.
• Familiarity with infrastructure-as-code (Terraform or CloudFormation)—able to contribute to existing configurations.
• Experience designing and operating distributed systems with strict availability and latency requirements.
• Proficiency in at least one scripting or systems language (Python, Go, Bash, or similar) for automation and tooling.
• Experience with container orchestration (Kubernetes, ECS) in production environments.
• Expertise in observability tooling (OpenSearch, Prometheus/Grafana, or equivalent).
• Hands-on experience with CI/CD platforms (GitHub Actions, Jenkins, CircleCI, or similar).
• Proven ability to define and operationalize SLOs and error budgets.
• Experience with relational and NoSQL databases—performance tuning, replication, and backup strategies.
• Strong working knowledge of networking fundamentals: DNS, load balancing, VPCs, TLS.
• Excellent communication skills—able to translate technical risk into business impact for non-engineering stakeholders.

Additional Requirements

• AWS Certifications (Solutions Architect, DevOps Engineer, or SysOps Administrator).
• Experience in healthcare technology or other regulated industries (HIPAA, SOC 2, FedRAMP).
• Familiarity with chaos engineering practices and tooling.
• Experience with data pipeline reliability (ETL/ELT workflows, streaming systems).
• Exposure to AI/ML infrastructure and the reliability challenges unique to model serving.
• Familiarity with additional cloud platforms (Azure, Google Cloud).
• Contributions to open-source reliability or infrastructure tooling.

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

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 an accommodation, all applications must be submitted through our online application system.

The Senior Project Manager will lead the planning, execution, and delivery for a case management system supporting the Centers for Medicare & Medicaid Services. This role is responsible for ensuring that all project activities are delivered on time, within scope, and in compliance with CMS standards and federal regulations.

The Senior Project Manager will serve as the primary point of accountability for project success, overseeing cross-functional teams, managing risks, and engaging stakeholders at all levels, including executive leadership.

Essential Duties and Responsibilities 

• Lead end-to-end delivery of the QMARS case management system 
• Define project scope, objectives, and success criteria 
• Establish and manage integrated project plans and schedules 
• Ensure alignment with CMS priorities and contract requirements 
• Serve as the primary liaison to CMS stakeholders and leadership 
• Establish governance structures
• Facilitate executive briefings and decision-making sessions 
• Manage stakeholder expectations and resolve escalations
• Develop and maintain Project Management Plan, Integrated Master Schedule and resource/staffing plans 
• Oversee Agile or hybrid delivery execution 
• Ensure coordination across business, technical, data, and QA teams 
• Identify, assess, and manage project risks and issues, maintain a comprehensive risk register, Develop mitigation and contingency plans
• Escalate critical risks to CMS leadership as needed
• Oversee quality assurance processes and deliverable reviews
• Ensure audit readiness and compliance documentation
• Lead and manage cross-functional teams
• Ensure appropriate staffing levels and skill alignment 
• Mentor team members and promote a high-performance culture
• Oversee Agile delivery processes, including sprint planning and execution, backlog prioritization and release planning 
• Ensure continuous improvement and delivery efficiency
• Provide regular status reports to CMS, including progress against schedule, risks and issues and key performance metrics 
• Ensure transparency and accuracy in all reporting

Qualifications 

• Bachelor’s degree in business, IT, or related field (Masters preferred)
• 10+ years of project/program management experience
• 5+ years managing large-scale federal IT programs (CMS preferred)
• Proven experience delivering complex system implementations
• Strong understanding of SDLC and Agile methodologies
• Must be legally authorized to work in the US
• Ability to obtain and maintain a Public Trust background investigation

Preferred Qualifications 

• Experience working with Centers for Medicare & Medicaid Services programs 
• Experience with case management systems or healthcare IT platforms 
• PMP certification

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system. 

As the Talent Acquisition Specialist, you will play a key role in shaping the future of Commence by sourcing and securing the best talent available, specifically in technology, project management and health information. The Talent Acquisition Specialist is responsible for ensuring a consistent and exceptional candidate experience throughout the recruiting lifecycle; helping to build a strong employer brand; and attracting high-performing, experienced candidates using a range of sourcing methods and recruiting tools that support targeted talent pipelines. 

The ideal candidate will have excellent communication and organizational skills, three to seven years of experience in talent acquisition, proficiency with applicant tracking systems, and the ability to develop and execute sourcing strategies for a variety of standard and technical roles. This role requires excellent interpersonal skills for working closely with others across multiple departments and the capability to operate effectively in a fast-paced, dynamic hiring environment. 

• Create an exceptional candidate experience for every candidate regardless of hiring status.
• Manages full-cycle recruiting with increasing autonomy based on experience, ensuring timely communication and structured evaluation processes.  
• Develops sourcing strategies tailored to individual roles using job boards, resume databases, and proactive outreach.  
• Partner with hiring managers and Human Resources to ensure a collaborative relationship for recruiting initiatives.
• Provide input to ensure that teams consist of diverse, qualified individuals.
• Builds and maintains candidate pipelines for roles with recurring or anticipated needs.  
• Form close relationships with hiring managers by providing regular updates to hiring managers on pipeline health, candidate status, and market conditions.
• Identifies opportunities to enhance recruiting workflows, communication practices, and candidate experience outcomes.  
• Coordinate with hiring managers to identify staffing needs and candidate selection criteria.
• Supports employer brand initiatives and participates in outreach efforts that strengthen talent attraction.  
• Understands and communicates labor market conditions and shares relevant insights with hiring managers to set expectations and inform hiring decisions.  
• Organize and attend various recruitment functions for the organization, including job fairs, open houses, and national conferences to build strong candidate pipelines.
• Ensures all recruitment and hiring functions comply with federal and state employment laws and are in line with company guidelines and policies.
• Manages candidate tracking and reporting in the applicant tracking system (ATS)], ensuring accuracy and data integrity.
• Uses reporting and metrics to evaluate sourcing effectiveness and identify opportunities for improvement. Other duties as required.

Qualifications

• Three to seven years of experience in a talent acquisition with increasing autonomy and complexity based on experience.
• Experience in full-cycle recruiting.
• Experience in recruiting in the government industry highly desired.
• Proficiency with social media, resume databases and professional networks.
• Excellent verbal and written communication skills, organizational and problem-solving skills, along with a strong customer service focus.
• Demonstrated ability to work in a fast-paced and dynamic environment with a high volume of open requisitions.
• General knowledge of employment best practices and compliance laws.
• Experience with Microsoft Office (Outlook, Word, PowerPoint, etc.) and common recruiting systems or tools.

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require 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 an accommodation, all applications must be submitted through our online application system.