Director of CCMRPM Operations

Director of CCM/RPM Operations

Owns the end-to-end operational backbone of CCM and RPM programs across multiple physician practices covering billing compliance reporting and account management.

Sector

Healthcare Operations Chronic Care Management & Remote Patient Monitoring

Reports to

Senior Leadership

Type

1099 Independent Contractor (with potential conversion to W-2)

Hours

Full-time US Central / Eastern business hours (Texas-based preferred)

Location

Remote Must overlap with US Central/Eastern time zones

Tools

Akos HealthSnap Prevounce Optimize Health (familiarity helpful); standard billing and reporting tools

Role Overview

Our client is seeking a Director of CCM/RPM Operations to lead and own the full operational infrastructure of their care management programs. This is a high-impact builder-stage role responsible for billing performance CMS compliance reporting infrastructure and practice-level account management across multiple physician groups.

The successful hire will be someone who designs systems solves operational problems and scales what works not just an operator who manages existing workflows. This role sits at the intersection of clinical care revenue compliance and practice relationships.

Key Responsibilities

Billing & Revenue Cycle

• Own CCM/RPM billing performance and integrity across all partner practices
• Ensure documentation supports billing requirements; monitor claim accuracy and reduce denial rates
• Work with internal teams and external billing partners to improve collections and streamline processes
• Define workflows for complex billing scenarios: straddle-month billing corrections and audit documentation

Compliance & Audit Readiness

• Ensure all programs adhere to CMS guidelines for CCM RPM PCM and TCM including supervision requirements and documentation standards
• Build and maintain audit-ready workflows at all times
• Lead internal audits and prepare for external audits
• Translate regulatory updates into operational changes

Program Operations & Performance

• Oversee operational performance across practices; define and track key metrics (enrollment growth engagement billable utilization device compliance)
• Identify bottlenecks and implement process improvements
• Ensure alignment between clinical workflows platform capabilities and billing requirements

Reporting & Analytics

• Build and manage reporting across operational financial and practice-level performance
• Develop dashboards ensure data accuracy and translate insights into actionable recommendations
• Support billing validation compliance monitoring and executive decision-making

Account Management & Practice Success

• Serve as senior operational point of contact for physician practices
• Support onboarding monitor performance and identify growth opportunities
• Build strong relationships with physicians and practice administrators

Cross-Functional Leadership

• Collaborate with clinical leadership care management teams and product/technology partners
• Design systems that scale as the organization grows

Who Will Succeed in This Role

The right candidate brings deep CCM/RPM expertise combined with a high ownership mindset and comfort operating in a fast-moving build-stage environment. They design systems fix whats broken and scale what works without needing a fully defined playbook to get started.

• High ownership orientation treats the programs as if they personally built them
• Comfortable operating with ambiguity; builds structure where none exists
• Detail-oriented without losing sight of the bigger operational picture
• Strong communicator who can work directly with physicians and practice administrators
• Analytically strong turns data into decisions not just reports

Experience & Skills

Required:

• 710 years in healthcare operations with direct CCM and/or RPM program experience
• Strong background in revenue cycle management Medicare Part B billing and care management operations
• Deep knowledge of CCM/RPM CPT codes:
• Fluency with documentation requirements time-based billing rules and supervision models
• Experience working with physician practices; cardiology MSO CIN or VBC background preferred
• Prior experience leading programs or teams
• AI fluency actively uses AI tools to work faster and smarter; must be able to speak to specific tools and use cases at screening
• Strong written and verbal communication exceptional written English; assessed at screening
• Must be able to work during US Central/Eastern business hours

Preferred:

• Experience in cardiology or with cardiac patient populations
• Hands-on experience with RPM device programs
• Familiarity with Akos HealthSnap Prevounce or Optimize Health
• Value-based care or ACO model experience
• Clinical background (RN NP or similar) beneficial but not required