Strategy Advancement Advisor - DME Operations
New
H
HumanaHealthcare
United StatesFull-TimeSenior
SalaryUSD 115200 - 158400 / year
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Job Details
- Experience
- 8 or more years of experience working in the durable medical equipment industry
- Required Skills
- Project ManagementData Analysis
Requirements
- Bachelor's degree.
- 8 or more years of experience working in the durable medical equipment (DME) industry, preferably for a DME supplier or operational organization.
- 2 or more years of project leadership experience.
- Extensive experience with DME operations including order intake, documentation review, benefit verification, prior authorization support, fulfillment, delivery, repairs, and recurring supplies.
- Knowledge of Medicare, Medicare Advantage, and CMS DMEPOS coverage requirements and documentation standards.
- Familiarity with DME equipment categories across respiratory, mobility, hospital beds, support surfaces, enteral, and wound care.
- Experience supporting operational implementations, pilot programs, vendor transitions, or new workflow rollouts.
- Experience collaborating with external vendors, providers, or supplier partners in managed care or healthcare operations.
- Proven ability to analyze operational data, identify trends, and recommend corrective actions.
- Reliable high-speed internet (minimum 25 Mbps download / 10 Mbps upload) and a dedicated home workspace.
Responsibilities
- Serve as DME subject matter expert providing guidance on equipment categories including respiratory, mobility, hospital beds, support surfaces, enteral, wound care, and recurring supplies.
- Lead daily operational readiness and execution activities for the DME pilot program.
- Partner with operational leaders to design, validate, and implement pilot workflows.
- Act as the primary DME subject matter expert for all internal and external partners.
- Document requirements, standard operating procedures, and escalation processes.
- Identify and resolve operational issues related to order routing, vendor assignment, documentation, authorization, fulfillment, delivery, and member/provider experience.
- Monitor pilot performance metrics to identify trends, risks, and process improvement opportunities.
- Support post-launch stabilization and provide recommendations for future expansion.
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