Program Manager – Remote Patient Monitoring (RPM)

Essen Health Care, the largest privately held multispecialty medical group in the Bronx, is dedicated to providing high-quality and accessible medical care. They are seeking a Program Manager for their Remote Patient Monitoring (RPM) program, responsible for overseeing operations, financial performance, and clinical oversight to improve patient outcomes and program scalability.

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
• Build scalable processes to support enrollment growth
• Monitor monthly RPM enrollment, billing, and reimbursement performance
• Ensure compliance with CMS guidelines for CPT billing requirements
• Partner with Revenue Cycle Management to reduce denials and optimize billing capture
• Track program margin and identify operational inefficiencies
• Present weekly performance dashboards to leadership
• Own and manage performance metrics including:
• ≥ 90% patient transmission adherence
• ≥ 90% monthly billing capture rate
• ≤ 5% documentation error rate
• <48-hour response time for abnormal clinical alerts
• Implement corrective action plans when KPIs fall below target thresholds
• Hire, train, and supervise RPM Care Coordinators
• Conduct productivity monitoring and performance evaluations
• Establish clear daily, weekly, and monthly output expectations
• Foster a culture of accountability, collaboration, and continuous improvement
• Ensure RPM services comply with Medicare, Medicaid, and HIPAA regulations
• Conduct routine audits of documentation and workflow adherence
• Collaborate with providers to ensure appropriate clinical interventions based on RPM alerts
• Maintain high standards of patient safety and quality of care
• Oversee RPM device vendors and platform performance
• Ensure seamless EHR integration and data accuracy
• Collaborate with IT to troubleshoot connectivity or transmission issues
• Evaluate new RPM technologies and recommend system improvements
• Develop strategies to improve patient retention and adherence
• Ensure patients receive proper education and support for device usage
• Address barriers to participation and improve satisfaction metrics

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
• Master's degree (MHA, MBA, MSN, or related field)
• Certification in Case Management (CCM)
• Certification in Healthcare Information Systems (CPHIMS)
• Experience in population health or value-based care programs