Chronic Care Management Program Lead, Fee for Service

Diverge Health

. Support Practice Liaisons during health center pitches by answering detailed clinical and billing questions .

Posted 10/21/2026full-timeRemote • United StatesSenior💰 $110,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in fee-for-service chronic care management and transitions of care, with a strong focus on clinical workflow, billing processes, and training. Holds a Registered Nurse license and possesses extensive experience in community-based healthcare settings, particularly Federally Qualified Health Centers.

Highest-signal resume keywords

Registered Nurse (RN) LicenseFee-For-Service Chronic Care ManagementBilling Issue TroubleshootingTraining And Onboarding ExperienceCertification In Case Management (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentMedication ReconciliationEMR DocumentationBilling ProcessesValue-Based Care ModelsPopulation Health Strategies

Soft Skills

Communication SkillsProblem-Solving Skills

Certifications & Qualifications

Certification In Case Management (CCM)APCMToCCoCM

Industry Keywords

Federally Qualified Health Centers (FQHCs)Community-Based HealthcareChronic Care ManagementTransitions Of Care

About the role

Key responsibilities & impact

Support Practice Liaisons during health center pitches by answering detailed clinical and billing questions
Own onboarding of newly signed health centers with Practice Liaisons, translating the fee-for-service model into practical implementation steps
Serve as the tactical subject matter expert for day-to-day fee-for-service care management delivery
Troubleshoot health center billing issues by tracing root causes in documentation or workflows
Build and maintain FAQs and training materials
Scale expertise across the fee-for-service portfolio by training trainers

Requirements

What you’ll need

Registered Nurse (RN) license in good standing, or equivalent clinical licensure
5 to 10 years of experience in fee for service chronic care management, transitions of care, or advanced primary care, including hands-on experience across the full workflow: care plan development, medication reconciliation, EMR documentation, and billing
Experience working within or supporting Federally Qualified Health Centers (FQHCs) or similar community-based healthcare settings
Demonstrated ability to trace a billing issue back to the documentation or process step that caused it
Comfort fielding detailed, state specific and payer specific questions from health center staff
Experience training or onboarding new staff or partner organizations on a clinical workflow
Familiarity with value-based care models and population health strategies
Certification in Case Management (CCM), APCM, ToC and CoCM (preferred)
Candidates must be authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Candidates must be able to work outside Alaska and Hawaii