The Operations Manager is responsible for overseeing end-to-end operations of
Chronic Care Management (CCM)
and
Remote Patient Monitoring (RPM)
programs for U.S. patients. This role ensures clinical quality, regulatory compliance (CMS/Medicare), operational efficiency, and patient engagement while leading multidisciplinary care teams and coordinating with providers, vendors, and billing teams.
Key Responsibilities
Program Management
Lead daily operations of CCM and RPM programs across multiple provider practices
Ensure CMS and Medicare compliance for CCM (CPT 99490, 99439, etc.) and RPM (CPT 99453, 99454, 99457, 99458)
Develop, implement, and optimize workflows for patient enrollment, monitoring, escalation, and follow-up
Track program performance, KPIs, patient outcomes, and revenue metrics
Clinical Oversight
Supervise nurses, care coordinators, medical assistants, and support staff
Ensure timely clinical review of RPM data and appropriate escalation of abnormal readings
Maintain high standards of care coordination, documentation, and care plan management
Collaborate with physicians and advanced practice providers on care strategies
Compliance & Quality Assurance
Ensure adherence to HIPAA, CMS, and payer-specific regulations
Audit clinical documentation and time tracking for billing accuracy
Maintain SOPs, policies, and quality improvement initiatives
Prepare programs for audits and payer reviews
Patient Engagement & Experience
Drive patient adherence and engagement in CCM and RPM programs
Address patient concerns, escalations, and service quality issues
Improve patient education related to chronic conditions and device usage
Technology & Vendor Management
Oversee RPM platforms, EHR integrations, and device vendors
Coordinate device logistics, onboarding, troubleshooting, and replacements
Work closely with IT and product teams to improve system usability
Reporting & Analytics
Generate weekly and monthly reports on enrollment, compliance, outcomes, and revenue
Analyze trends to improve efficiency, patient outcomes, and profitability
Present insights to leadership and stakeholders
Team Leadership
Recruit, train, mentor, and evaluate CCM/RPM staff
Set performance goals and conduct regular reviews
Foster a culture of accountability, compliance, and patient-centered care
Required Qualifications
Bachelor's degree in Healthcare Administration, Nursing, Public Health, or related field
Strong understanding of CMS guidelines and Medicare billing for CCM & RPM
Experience managing clinical or care coordination teams
Familiarity with EHR systems and RPM platforms
Preferred Qualifications
RN, LPN, or clinical background strongly preferred
Experience working with U.S.-based provider groups or MSOs
Prior audit or compliance management experience
Key Skills & Competencies
Healthcare compliance & regulatory knowledge
Clinical operations management
Data-driven decision-making
Team leadership & cross-functional collaboration
Strong communication with providers and patients
Process optimization and scalability
Job Type: Full-time