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Mentor
Just let the background check know that senior manager is your title and delivery lead is your project role. If it comes up. FYI- delivery lead is the MD exec.
There is a senior manager level delivery lead title at Accenture now, one level below MD
Mentor
Be more specific, what did you use
I used my actual role: delivery lead; but they used management level - senior manager
Recently I just started a new job and 4/5 of my previous jobs had mismatched titles because I did the same thing. Still got the green light on all of them. I think they only look to see if there is a significant difference like someone calling themselves the CEO when they were a junior product manager