Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place to Work!

This is a full-time role operating remotely during standard business hours with as-needed travel requirement. This is not a flexible schedule opportunity. We offer an annual salary of $170,000 and a robust benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually. Group benefits, which begin day one, include numerous health/dental/vision plans, employer-paid life insurance, 401(k) with a company match and more.

• Design and execute a comprehensive CCM strategy across ambulatory, post-acute, and SNF settings
• Identify growth opportunities including new markets, service lines (e.g., RPM, TCM integration), and payer partnerships
• Develop scalable care models to support multi-state expansion
• Align CCM initiatives with value-based care objectives, including ACO, Medicare Advantage, and bundled payment programs

• Lead day-to-day CCM operations across multiple regions and care settings
• Standardize workflows for patient identification, enrollment, consent, care planning, and monthly engagement
• Implement centralized and/or hybrid care coordination models (e.g., call centers, virtual teams)
• Optimize staffing models including RNs, LPNs, MAs, and care coordinators
• Establish SLAs and performance benchmarks across markets

• Ensure CCM services meet CMS guidelines and documentation requirements
• Partner with clinical leadership to develop evidence-based care plans and protocols
• Monitor quality metrics including:
• Hospital readmissions
• ED utilization
• Patient engagement rates
• Care gap closure
• Drive continuous quality improvement initiatives

• Own CCM P&L, including revenue growth, cost management, and margin optimization
• Partner with billing and coding teams to ensure accurate capture of CCM services (e.g., CPT 99490, 99439, 99487, 99489)
• Monitor key financial KPIs:
• Enrollment rates
• Minutes per patient per month
• Reimbursement per patient
• Denial rates
• Identify and implement revenue optimization strategies

• Oversee implementation and optimization of CCM platforms, EHR integrations, and telehealth tools
• Utilize data analytics to track performance, identify trends, and drive decision-making
• Implement dashboards for real-time visibility into operational and financial metrics
• Ensure interoperability between hospital, SNF, and community-based systems

• Partner with:
• Clinical leadership (CMO, Medical Directors)
• Field operations and regional leaders
• Revenue cycle management
• IT and digital health teams
• Business development and payer contracting
• Support integration of CCM with TCM, RPM, and other population health programs

• Build and lead a high-performing CCM operations team
• Develop leadership structure across regions (e.g., regional directors, managers)
• Establish training programs for care coordinators and clinical staff
• Foster a culture of accountability, collaboration, and patient-centered care

• Bachelor’s degree required; Master’s degree (MBA, MHA, MPH, or clinical degree) preferred
• 8–12+ years of healthcare operations experience, with significant focus on CCM, population health, or care management
• Experience in multi-site medical groups, post-acute care, or value-based care environments strongly preferred
• Proven success scaling clinical programs across multiple markets

• Deep understanding of CMS CCM, TCM, and related programs
• Strong financial acumen with experience managing P&L
• Expertise in care coordination workflows and staffing models
• Experience with EHRs, care management platforms, and data analytics tools
• Strong leadership, communication, and change management skills

• CCM enrollment growth and penetration rates
• Monthly patient engagement and compliance rates
• Revenue per enrolled patient
• Reduction in hospital readmissions and ED visits
• Program margin and cost per patient
• Staff productivity and retention

• Experience in SNF or post-acute care models
• Familiarity with Medicare Advantage and ACO structures
• Experience building centralized care management programs
• Background in integrating CCM with telehealth or virtual care

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.