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.

Healthcare Operations — Chronic Care Management & Remote Patient Monitoring

Senior Leadership

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

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

Remote · Must overlap with US Central/Eastern time zones

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

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.

• 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

• 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

• 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

• 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

• 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

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

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 what's 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

• 7–10+ 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: 99490, 99439, 99487, 99489, 99453, 99454, 99457, 99458
• 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

• 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