The TRICARE Program Management Directorate (PMD) was responsible for developing and testing new programmatic initiatives, launching congressionally mandated demonstration projects, and re-engineering existing programs for the nation’s military healthcare benefits program. Axiom developed a tailored methodology based upon the DoD 5000 acquisition model to translate initial concepts into detailed specifications and project requirements. With AXIOM’s support, PMD perfected a tested methodology for continuous and systemic process improvement. As PMD’s staff extenders, Axiom ensured that constituent stakeholders agreed on project activities, milestones and expected outcomes. Progress towards each milestone was carefully documented, and each project outcome rigorously tested and evaluated. We developed charters, established schedules, supported Integrated Project Teams (IPTs), and provided the centralized approach for TMA and other senior DoD executives to reach well-informed decisions regarding project scope.