Operations Manager

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

Pay: ₹30,000.00 - ₹40,000.00 per month

Experience:

• Nursing: 2 years (Preferred)

Location:

• Hyderabad, Telangana (Required)

Shift availability:

• Night Shift (Required)

Work Location: In person

Expected Start Date: 01/02/2026