[Hiring] Director of CCM/RPM Operations @Seamless Assist

Role Description

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

We 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.

Qualifications

• 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; 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

Requirements

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

Benefits

• Compensation: $90,000 – $110,000 base + target 20% performance bonus
• Type: 1099 (with potential conversion to W-2)
• Location: Remote (Texas-based, preferred)

Key Responsibilities

• 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

Who Will Succeed in This Role

• 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