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.About Cardiac Care Alliance (CCA)Cardiac Care Alliance (CCA) is building a next-generation, cardiology-focused care management platform that supports both fee-for-service and value-based programs across Chronic Care Management (CCM) and Remote Patient Monitoring (RPM).We partner with physician practices to extend care beyond the clinic, helping patients stay connected, supported, and engaged in managing their heart health. At the same time, we bring operational discipline to billing, compliance, and reporting – ensuring programs are not only clinically effective, but also financially and operationally sound.About The RoleWe are looking for a Director of CCM/RPM Operations to lead and own the operational backbone of our programs.This is a high-impact role responsible for the end-to-end performance of CCM and RPM across multiple practices. You will oversee billing operations, ensure compliance with CMS regulations, build reporting infrastructure, and serve as a key operational & implementation partner to physician groups.You will play a central role in making sure our programs are structured for growth while remaining audit-ready, efficient, and aligned with real-world clinical workflows.This role is ideal for someone who is not just an operator, but a builder – someone who can design systems, fix what's broken, and scale what works.ToolsAkos, HealthSnap, Prevounce, Optimize Health (familiarity helpful); standard billing and reporting toolsRole OverviewOur 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 ResponsibilitiesBilling & Revenue CycleOwn CCM/RPM billing performance and integrity across all partner practicesEnsure documentation supports billing requirements; monitor claim accuracy and reduce denial ratesWork with internal teams and external billing partners to improve collections and streamline processesDefine workflows for complex billing scenarios: straddle-month billing, corrections, and audit documentationCompliance & Audit ReadinessEnsure all programs adhere to CMS guidelines for CCM, RPM, PCM, and TCM — including supervision requirements and documentation standardsBuild and maintain audit-ready workflows at all timesLead internal audits and prepare for external auditsTranslate regulatory updates into operational changesProgram Operations & PerformanceOversee operational performance across practices; define and track key metrics (enrollment growth, engagement, billable utilization, device compliance)Identify bottlenecks and implement process improvementsEnsure alignment between clinical workflows, platform capabilities, and billing requirementsReporting & AnalyticsBuild and manage reporting across operational, financial, and practice-level performanceDevelop dashboards, ensure data accuracy, and translate insights into actionable recommendationsSupport billing validation, compliance monitoring, and executive decision-makingAccount Management & Practice SuccessServe as senior operational point of contact for physician practicesSupport onboarding, monitor performance, and identify growth opportunitiesBuild strong relationships with physicians and practice administratorsCross-Functional LeadershipCollaborate with clinical leadership, care management teams, and product/technology partnersDesign systems that scale as the organization growsWho Will Succeed In This RoleThe 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 themComfortable operating with ambiguity; builds structure where none existsDetail-oriented without losing sight of the bigger operational pictureStrong communicator who can work directly with physicians and practice administratorsAnalytically strong — turns data into decisions, not just reportsExperience & SkillsRequired:7–10+ years in healthcare operations with direct CCM and/or RPM program experienceStrong background in revenue cycle management, Medicare Part B billing, and care management operationsDeep knowledge of CCM/RPM CPT codes: 99490, 99439, 99487, 99489, 99453, 99454, 99457, 99458Fluency with documentation requirements, time-based billing rules, and supervision modelsExperience working with physician practices; MSO, CIN, or VBC background preferredPrior experience leading programs or teamsAI fluency — actively uses AI tools to work faster and smarter; must be able to speak to specific tools and use cases at screeningStrong written and verbal communication — exceptional written English; assessed at screeningMust be able to work during US Central/Eastern business hoursPreferred:Experience in cardiology or with cardiac patient populationsHands-on experience with RPM device programsFamiliarity with Akos, HealthSnap, Prevounce, or Optimize HealthValue-based care or ACO model experienceClinical background (RN, NP, or similar) — beneficial but not requiredLocation: Remote (Texas-based, preferred)Company: Cardiac Care Alliance (CCA)Compensation: $90,000 – $110,000 base + target 20% performance bonusType: 1099 (with potential conversion to W-2)