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3 дня назад

Strategy Advancement Advisor - DME Operations

115 200 - 158 400$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Strategy Advancement Advisor - DME Operations (Healthcare/DME): Supporting the operational implementation of a pilot durable medical equipment program through workflow design, vendor coordination, compliance, and member/provider experience improvements with an accent on DME fulfillment, CMS requirements, and operational readiness. Focus on analyzing performance data, resolving routing and authorization issues, documenting procedures, and stabilizing pilot operations for future expansion.

Location: Remote nationwide in the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $115,200–$158,400 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and health insurance company providing insurance and healthcare services to millions of members.

What you will do

  • Support daily operational readiness and execution for a durable medical equipment pilot program.
  • Serve as the DME subject matter expert for internal teams, external vendors, providers, and supplier partners.
  • Design, validate, and implement workflows covering order routing, vendor assignment, authorization, documentation, fulfillment, delivery, repairs, and recurring supplies.
  • Document requirements, standard operating procedures, and escalation processes.
  • Monitor pilot metrics, identify risks and trends, resolve operational issues, and recommend process improvements.
  • Support post-launch stabilization, lessons learned, and recommendations for future pilot expansion or modification.

Requirements

  • Bachelor's degree.
  • 8 or more years of experience in the durable medical equipment industry, preferably with a DME supplier or DME-focused operations organization.
  • At least 2 years of project leadership experience.
  • Experience with DME operations, including order intake, documentation review, benefit verification, prior authorization support, fulfillment, delivery, repairs, recurring supplies, and patient service.
  • Knowledge of Medicare, Medicare Advantage, CMS DMEPOS coverage requirements, and DME documentation standards.
  • Experience supporting operational implementations, pilots, vendor transitions, or new workflow rollouts, and analyzing operational data to recommend corrective actions.

Nice to have

  • Operational leadership experience driving execution without formally owning project management.
  • Proficiency in process mapping, workflow design, and procedure documentation.
  • Ability to explain complex DME concepts to non-DME partners.
  • Knowledge of health plan operations, preferably Medicare Advantage.

Culture & Benefits

  • Full-time schedule of 40 hours per week.
  • Dedicated, interruption-free workspace required to protect member PHI and HIPAA information.
  • Self-provided internet service must support at least 25 Mbps download and 10 Mbps upload speeds.
  • Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, paid parental and caregiver leave, disability coverage, and life insurance.
  • Work supports consumer experience and whole-person well-being in healthcare services.

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