Project management is recognized as an essential skill required for healthcare leadership and as a result, Project Management Offices (PMOs) in healthcare organizations have become commonplace. When PMOs are well suited and fit to their organization, they are being valued for their ability to support appropriate trade-offs between investments, capacity, and quality. This article provides an overview of healthcare PMOs and advocates for elevating the role of the healthcare PMO from a monitoring and reporting function to a leader and the engine for strategic change within an organization.