We are seeking a highly organized and experienced Office Manager to remotely oversee operations across multiple primary care clinics in the United States. The ideal candidate has strong experience in clinic operations, staff coordination, billing workflows, EMR systems, HIPAA compliance, and operational reporting. This role requires excellent communication skills, high attention to detail, and the ability to manage teams and processes across different locations. Full professional English proficiency (C1) is mandatory. Manage daily operational performance across multiple clinics. Oversee staff scheduling and ensure adequate coverage. Support patient service operations and handle escalations. Coordinate billing workflows, payments, and communication with billing partners. Oversee inventory management across all clinic locations. Manage clinic budgets, financial processes, and cost controls. Maintain and update EMR data accurately across sites. Ensure full HIPAA compliance and adherence to internal policies. Support clinic teams in troubleshooting operational issues. Prepare performance reports and metrics for leadership.