The project manager for medical device company faces more challenges than the construction project manger .The project manager for medical device company leads the team of engineer ,owns the relationship with clients and applying engineering knowledge to ensure successful outcomes . Assembling a medication reconciliation team is an important task for project manager for medical device company . The Design Team should be comprised of multidisciplinary members with a strong knowledge of current workflow, recognition of the problem, and buy-in for improvement like nurses, physicians The project manager should have the skills needed to effectively listen to the client, clinical advisors, and end users, use that information, and develop a safe, effective, and meaningful solution. He has to learn new things fast, and use that information to make good decisions along the way. While for construction manager communication skills are important without it even the skilled workers are unable to work effectively . Construction project includes some additional problems so project manager needs to have strong problem solving skills. He should understand importance of team work.