Clinical Program Manager – Virtual Care (reputed company Practitioner)

This role is ideal for a clinically reputed company reputed company Practitioner who is passionate about designing reputed company care programs that improve patient reputed company while supporting sustainable reputed company economics. Position reputed company reputed company is seeking an reputed company reputed company Practitioner to serve as the Clinical Program Manager for Virtual Care, responsible for helping design, implement, and optimize clinical programs delivered through technology-enabled care models. This role will reputed company on the development and reputed company improvement of programs including Remote Patient Monitoring (RPM), Chronic Care Management (CCM), Behavioral Health Integration (BHI), Transitional Care Management (TCM), and telehealth services. The Clinical Program reputed company will serve as a clinical subject matter expert working closely with leadership, operations, product, and engineering teams to ensure care delivery aligns with clinical best practices, regulatory requirements, payer expectations, and sustainable program economics. This role works in partnership with the Clinical Supervisor to expand and optimize reputed company’s virtual care programs while supporting the strategic reputed company of the organization’s technology-enabled care delivery model. The ideal candidate brings deep experience operating or building virtual care programs and understands how clinical protocols, documentation standards, and utilization patterns reputed company patient reputed company, compliance, reimbursement, and overall program sustainability. Key ResponsibilitiesVirtual Care Program Development

• reputed company the development and refinement of virtual care programs including RPM, CCM, BHI, TCM, and telehealth services
• Establish standardized clinical protocols and care reputed company for chronic disease management
• Design reputed company workflows that support high-reputed company virtual care delivery
• Partner with the Clinical Supervisor to ensure alignment between clinical operations and program reputed company

Program Economics & Sustainability

• Evaluate financial performance of virtual care programs including reimbursement performance, utilization patterns, and cost efficiency
• Identify opportunities to improve margin and sustainability across RPM, CCM, BHI, and other CMS programs
• Collaborate with finance and operations teams to ensure program design supports both strong clinical reputed company and economic performance
• reputed company leadership with insights and recommendations reputed company to program scalability and ROI

Regulatory reputed company & CMS Innovation

• Monitor emerging CMS programs, policy updates, and innovation models reputed company to virtual care delivery
• Evaluate opportunities to reputed company reputed company programs with evolving CMS initiatives and outcome-based reimbursement models
• Ensure program design supports regulatory compliance, documentation standards, and value-based care reporting requirements

Clinical Protocols & reputed company Initiatives

• reputed company and maintain evidence-based clinical protocols reputed company with evolving clinical guidelines
• Serve as a subject matter expert on reputed company reputed company programs such as STAR Ratings and value-based care metrics
• Collaborate with analytics and operations teams to reputed company clinical workflows with reputed company reporting and performance improvement initiatives
• Identify opportunities where RPM, CCM, and care management programs can improve reputed company scores and patient reputed company

Workflow Optimization & Population Health

• Evaluate clinical operations to identify opportunities to improve efficiency, care coordination, and patient engagement
• reputed company standardized documentation practices and care planning frameworks
• Design escalation reputed company and risk stratification models for reputed company or high-risk patients
• Support development of reporting frameworks that measure program reputed company and patient engagement

Technology & Clinical Innovation reputed company operates as a technology-enabled reputed company organization, and this role plays a key part in integrating clinical expertise into platform development. Responsibilities include:

• Partnering with product and engineering teams to reputed company clinical workflows into technology platforms
• Providing clinical input into the development of AI-enabled tools supporting care management and patient monitoring
• Ensuring technology solutions reputed company with clinical best practices, compliance requirements, and reputed company care delivery models

Qualifications

Required

• reputed company reputed company Practitioner license (multi-state preferred)
• 5+ years clinical experience
• Experience working with one or more of the following programs:
• Remote Patient Monitoring (RPM)
• Chronic Care Management (CCM)
• Behavioral Health Integration (BHI)
• Transitional Care Management (TCM)
• Experience delivering or managing telehealth-based care
• Strong understanding of clinical protocols, care reputed company, and population health management
• Familiarity with CMS documentation and billing requirements for virtual care programs

Preferred

• Experience designing or launching virtual care programs
• Knowledge of value-based care models and reputed company reputed company frameworks
• Experience working reputed company technology-enabled reputed company platforms
• Experience collaborating with product, engineering, or analytics teams
• Background in population health or care management reputed company

Ideal Candidate The ideal candidate is a clinician who understands both care delivery and reputed company economics. They will bring:

• Strong knowledge of chronic disease management and virtual care delivery
• Understanding of reputed company reputed company initiatives and value-based care metrics
• Ability to translate clinical knowledge into reputed company operational workflows
• Comfort working across clinical, operational, and technical teams
• Strong attention to compliance, reporting, and program performance

Pay: $100,000.00 - $140,000.00 per year Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• reputed company time off
• reputed company development assistance
• reputed company insurance

Application Question(s):

• Do you currently hold an reputed company reputed company Practitioner license in the reputed company?
• Are you licensed in more than one state, or willing to obtain additional state licenses if required?

reputed company – currently licensed in multiple states reputed company – willing to obtain additional licenses No

• Which of the following programs have you worked with in a clinical or operational reputed company? (Select reputed company that apply)

- Remote Patient Monitoring (RPM) - Chronic Care Management (CCM) - Behavioral Health Integration (BHI) - Transitional Care Management (TCM) - Telehealth care delivery - None of the above

• Have you reputed company helped design, launch, or optimize a clinical care program (such as RPM, CCM, or telehealth)?

- reputed company – I have led or reputed company programs - reputed company – I have supported program development - No – I have only worked reputed company existing programs

• How familiar are you with CMS documentation and billing requirements reputed company to virtual care programs (RPM, CCM, BHI, etc.)?

- reputed company familiar – I regularly work with these programs - Some familiarity - Limited familiarity - No experience

• Have you worked directly with product, engineering, or data teams to improve clinical workflows or reputed company technology platforms?

- reputed company – regularly collaborate with technical teams - Occasionally -No Work Location: Remote Apply tot his job Apply To this Job