Lead Program Manager, RPM/CCM/RCM

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OpenLoop

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

Gegründet 2020

☁️ SaaS

🤝 B2B

🏢 Unternehmen

💰 €15.000.000 Series A - OpenLoop Health im 2023-03

SaaS • B2B • Enterprise

OpenLoop ist eine White-Label-Telemedizin-Plattform und ein Anbieter von Managed Services, die Organisationen dabei hilft, virtuelle Versorgungsprogramme zu starten und zu skalieren. Sie kombiniert SaaS-basierte, markenfähige Technologie (Terminplanung, Buchung, Zahlungen, EHR/API-Integrationen) mit klinischem Personal, Akkreditierung, Kostenträgerabdeckung und RCM, regulatorisch/rechtliche Unterstützung und 24/7 Patientenunterstützung. OpenLoop bedient Gesundheitspläne, Krankenhäuser und Gesundheitssysteme, Einzelhändler, Arbeitgeber und digitale Gesundheitsunternehmen mit KI-gestützten Operationen, einem landesweiten Netz von Klinikern und einer breiten Versicherung, einschließlich Medicare und Medicaid.

Beschreibung

• Own the strategy. Define the multi-quarter roadmap for RPM/CCM/RCM, including the metrics that matter, the bets we're making, and the sequencing that gets us there. Defend it to the executive team and adjust it as the market and our data demand. • Close the deliverable-to-goal gap. Continuously verify that what's being built matches the strategic plan — and when it doesn't, you're the one who escalates, re-scopes, or re-aligns. The gap between roadmap and reality is your accountability. • Set the operating goals. Translate company-level OKRs into program-level targets — clinical quality, patient outcomes, client retention, unit economics, growth velocity. Pick the right metrics; defend them against vanity alternatives. • Make build/buy/partner calls. Decide where we build, where we integrate, and where we partner. Bring data, scenarios, and a recommendation — not just options. • Lead without authority. Align Clinical, Product, Engineering, Pharmacy, RCM, Implementation, Marketing, and Client Success behind a single program direction. • Own the program's narrative for senior leadership. Run the program review with the C-suite and translate complex operational and clinical dynamics into clear decisions and tradeoffs. • Guide Program Managers. You will guide and prioritize the work of Program Managers supporting the program. Direct reporting structure and team composition may evolve as the program and broader portfolio scale. • Own client outcomes for the program. Be the executive escalation point for major client questions and program-level commitments. • Translate client and market signal. Synthesize what we hear from clients, what the regulatory environment is doing, and what competitors are shipping into roadmap decisions. • Drive program-level commercial outcomes. Partner with Commercial and Client Success to make sure the program is sellable, expandable, and retainable — not just operational.

🎯 Anforderungen

• 7–10+ years of experience owning programs, products, or operating units in healthcare, digital health, health tech, or closely adjacent fields. At least 3 years setting strategy and owning a roadmap end-to-end. • Direct experience owning RPM, CCM, or RCM programs, including working knowledge of the billing code landscape (CPT 99453, 99454, 99457, 99458 for RPM; CPT 99490, 99439, 99487, 99489 for CCM/Complex CCM), Medicare and commercial payer requirements, device logistics, and the clinical engagement workflows that make these programs reimbursable rather than just operational. • Track record of strategy ownership, not just execution. • Demonstrated cross-functional leadership. • Strong commercial and analytical instincts. • Exceptional written communication. • Built structure in fast-moving environments. You've worked at the velocity hypergrowth requires without letting documentation, protocols, and clinical/operational rigor slip. • Strong compliance instinct. Operating with strong attention to clinical, regulatory, and data-security standards. In a healthcare environment, program decisions carry compliance consequences — you treat documentation and audit-readiness as core program deliverables.

🏖️ Vorteile

• Medical, Dental, and Vision plans • Flexible Spending/Health Savings Accounts • Flexible PTO • 401(k) + Company Match • Life Insurance, Pet insurance, and more