Medical Operations Manager – Regulatory & Escalations

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Serve as the primary point of contact for providers and internal teams regarding telehealth regulations, DEA requirements, PDMP, licensure, prescribing standards, and internal Medical Operations policies
  • Interpret regulatory and policy requirements and provide clear, practical guidance that supports compliant care delivery without unnecessary escalation
  • Identify recurring questions or areas of confusion and proactively recommend SOP updates, training needs, or workflow refinements to reduce operational friction
  • Lead initial investigation, triage, and resolution of operational, clinical, or compliance-related issues raised by providers, support teams, or internal stakeholders
  • Act as a trusted operational partner to providers by ensuring timely, accurate responses to day-to-day questions impacting workflows, documentation, prescribing, and care delivery
  • Directly supervise and manage the Provider Administrative Support Team, including offshore or overseas administrative assistants, in partnership with HR
  • Maintain and continuously improve Medical Operations SOPs, decision trees, and escalation protocols in alignment with current regulations and internal standards
  • Participate in a rotating weekend on-call schedule to support operational continuity and timely issue resolution
    Requirements:
  • 5+ years of experience in medical operations, clinical operations, regulatory operations, or telehealth environments
  • Bachelor’s degree in Healthcare Administration, Business, or related field, Master’s degree a plus
  • Strong working knowledge of HIPAA, DEA regulations, state licensure requirements, PDMP, and telehealth compliance frameworks, mental health experience preferred
  • Proven ability to investigate issues, synthesize facts, and recommend clear resolutions independently
  • Experience supervising and managing support teams, including offshore or overseas staff, with HR partnership
  • Highly organized, detail-oriented, and comfortable managing multiple concurrent issues in a fast-paced environment
  • Familiarity with EHR and CRM platforms and telehealth operational tools
    Benefits:
  • Coverage and On-Call Support
  • Health insurance
  • Professional development opportunities

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