Program Manager overseeing various Medicaid and Medicare initiatives at Centene. Responsible for planning, implementation and execution through cross - functional collaboration and resource management.
About the role
- Program Manager for Remote Patient Monitoring responsible for operational, financial, and clinical oversight at Essen Health Care. Leading a team to improve patient outcomes and efficiency.
Responsibilities
- Oversee day-to-day operations of the RPM program.
- Develop and standardize workflows for enrollment, device activation, monitoring, and escalation.
- Ensure efficient coordination between providers, care coordinators, IT, and RCM teams.
- Monitor monthly RPM enrollment, billing, and reimbursement performance.
- Implement corrective action plans when KPIs fall below target thresholds.
- Hire, train, and supervise RPM Care Coordinators.
- Ensure RPM services comply with Medicare, Medicaid, and HIPAA regulations.
- Oversee RPM device vendors and platform performance.
Requirements
- Bachelor’s degree in Healthcare Administration or related field
- 3–5 years of clinical or care management experience
- Minimum 2–3 years of healthcare leadership experience
- Experience with Remote Patient Monitoring or telehealth programs
- Knowledge of CMS billing requirements and compliance standards
- Experience using EHR systems and healthcare analytics tools
Benefits
- Health insurance
- Flexible working hours
- Professional development opportunities
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