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process improvement project management office project scope management project governance project budget management project risk management bpo - business process outsourcing project portfolio management - ppm project schedule management quality management capacity management product development customer satisfaction project quality project stakeholder management project planning strategic objective alignment project process improvement program management project success roi cfo on-time successful projects for leaders on-budget project management apportioned bottom-up expert opinion top-down project cost control estimating parametric ed kozak strategic planning profitability pmo integration management financial goals cost reduction electronic medical record cost variance emr six sigma project rescue schedule management cno hospital cost management project improvement coo bottom line