<div><strong style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">At Sciometrix</strong><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health.</span></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.</span></div><div><br></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services.</span></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency.</span></div><div><br></div><div><span style="color: rgba(0, 0, 0, 0.9); font-size: 14px;">With Sciometrix, the future of healthcare is not just about treating illnesses; it's about empowering patients to live their best lives.</span></div><div><br></div>

SCIOMETRIX

<h2>About Sciometrix</h2>
<p>At Sciometrix, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes.</p>
<p>Our mission is to enhance the lives of patients by leveraging digital solutions that reduce hospital readmissions, improve health outcomes, and optimize the delivery of healthcare services.</p>
<p>At the heart of our philosophy lies the belief that every patient deserves access to the highest quality of care, tailored to their individual needs. We strive to make this vision a reality by pioneering innovative solutions that prioritize patient well-being and provider efficiency. With Sciometrix, the future of healthcare is not just about treating illnesses; it's about empowering patients to live their best lives.</p>
<h2>What's In It For You</h2>
<p>🚀 <b>Dynamic Startup Culture:</b> Be part of a fast-growing healthcare technology organization where your leadership directly impacts scalable growth in Care Management, RPM, and Value-Based Care programs.</p>
<p>⚧️ <b>Commitment to Diversity:</b> We are building a culture of inclusion, belonging, and equity, backed by leadership commitment at every level.</p>
<p>🌍 <b>Global Network:</b> Collaborate with experienced healthcare leaders, payer experts, and technology teams across the US and India.</p>
<p>🤝🏻 <b>Community of Belonging:</b> We foster a supportive environment where individuals are empowered, valued, and encouraged to grow professionally and personally.</p>
<p>🌟 <b>Benefits:</b> Remote/Hybrid Work Opportunity, Health Insurance, Accidental Wellness Cover, Company-Provided Devices, Internet Reimbursement, Optional Holidays.</p>
<h2>Role Overview</h2>
<p>We are seeking a strategic and results-driven <b>Director – CCM &amp; RPM Payer Contracts and Revenue Cycle Management (RCM)</b> to lead payer strategy, reimbursement optimization, and revenue integrity for our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs.</p>
<p>This role will play a critical leadership function in scaling CCM and RPM services across Medicare, Medicaid, and Commercial payers by ensuring compliant billing, accurate reimbursement, strong payer alignment, and optimized financial performance.</p>
<p><b>Location:</b> India (Remote)</p>
<h3>Key Responsibilities</h3>
<ul>
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<p>Lead payer contract strategy for CCM and RPM services, including CPT codes <strong>99490, 99439, 99487, 99489, 99491, 99453, 99454, 99457, and 99458</strong>.</p>
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<p>Interpret and operationalize payer contracts, coverage policies, and fee schedules for CCM/RPM programs.</p>
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<p>Ensure reimbursement accuracy and compliance with <strong>CMS billing, documentation, consent, and time requirements</strong>.</p>
</li>
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<p>Oversee identification, recovery, and appeal of CCM/RPM underpayments and reimbursement variances.</p>
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<p>Reduce CCM/RPM denials related to coverage, consent, documentation, and medical necessity.</p>
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<p>Partner with clinical, care management, operations, finance, and compliance teams to align workflows with payer requirements.</p>
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<p>Ensure accurate contract loading and validation of CCM/RPM rates in EMR and Practice Management systems.</p>
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<p>Support payer negotiations and coverage expansion using financial and utilization analysis.</p>
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<p>Lead and develop payer contracting, financial analysis, and denial management teams.</p>
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<p>Establish SOPs, reporting, and governance to scale and optimize CCM/RPM revenue performance.</p>
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</ul>

<h3>Key Performance Indicators (KPIs)</h3>
<ul>
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<p>≥ <strong>98%</strong> CCM/RPM contract load accuracy</p>
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<p>Reduced CCM/RPM underpayments, write-offs, and denial rates</p>
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<p>Improved CCM/RPM net collection rates and revenue per enrolled patient</p>
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<p>Faster payer contract onboarding and implementation</p>
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</ul>

<h3>Qualifications</h3>
<ul>
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<p>Bachelor’s degree in Healthcare Administration, Finance, Business, or related field; <strong>MBA/MHA preferred</strong></p>
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<p><strong>10–15+ years</strong> of Revenue Cycle Management experience</p>
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<p><strong>5+ years</strong> managing CCM and/or RPM or similar value-based care programs</p>
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<p>Strong expertise in <strong>Medicare and Commercial CCM/RPM reimbursement</strong></p>
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<p>Advanced knowledge of <strong>CMS CCM/RPM billing and compliance requirements</strong></p>
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</ul>

<h3>Core Competencies</h3>
<ul>
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<p>CCM/RPM CPT codes, billing rules, and payer policies</p>
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<p>EMR systems supporting CCM/RPM workflows (Epic, Athena, eCW, NextGen, or similar)</p>
</li>
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<p>Contract analysis, reimbursement modeling, and variance resolution</p>
</li>
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<p>Strategic leadership with a strong compliance and revenue focus</p>
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<p>Executive communication and payer negotiation skills</p>
</li>
</ul>
<p><b>Sciometrix is an Equal Opportunity Employer</b> and is proud to offer equal employment opportunities to all individuals regardless of race, color, ancestry, religion, gender, national origin, sexual orientation, age, citizenship, disability, gender identity, veteran status, or any other protected characteristic.</p>