DME Manager

OrthoArizona; Chicago (IL); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

PTO

Health insurance

HSA with company contributions

Life insurance

Job summary

OrthoArizona seeks a DME Program Manager to lead the durable medical equipment program and manage an outsourced full-service vendor. The role connects clinical operations with revenue cycle, overseeing dispensing, billing, and compliance.

You will drive governance, vendor performance, and process improvements across multiple locations while ensuring regulatory adherence and efficient inventory control.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field or equivalent experience.
• 5+ years in healthcare operations, revenue cycle, or program/project management with external vendors.
• Knowledge of DME operations, medical billing, coding, and payer reimbursement.
• Proven success leading cross-functional projects in healthcare.

Responsibilities

• Own relationship with external DME vendor for all service areas including ordering, inventory, dispensing, billing and collections.
• Manage contract, SLAs, pricing, renewals; coordinate with legal, procurement, finance on amendments.
• Run governance cadences with clear agendas and action items; monitor vendor KPIs and SLAs.
• Reconcile vendor invoices and revenue-share arrangements against performance and terms.
• Ensure Medicare/Medicaid and payer accreditation compliance and proper documentation.
• Drive adoption of new tools, train staff, and measure uptake.
• Coordinate cross-functional projects across clinical, operations, IT, compliance and vendor.
• Maintain DME inventory, casting materials, equipment upkeep, and proper dispensing documentation.
• Obtain prior authorization for DME items and maintain ongoing staff training.

Skills

Vendor management

Analytical skills

Cross-functional collaboration

Negotiation

Project management

Education

Bachelor's degree in healthcare administration, business, finance, or related field

High School Diploma or GED

Tools

EHR/Practice-management systems

BI tools / dashboards

Job description

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists. Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.

The DME Program Manager owns the day-to-day performance and strategic direction of OrthoArizona's durable medical equipment (DME) program, with primary responsibility for managing the relationship with an outsourced, full-service DME vendor. This vendor handles ordering, inventory, fulfillment, dispensing support, billing, and collections, and the Program Manager serves as the single point of accountability connecting that vendor to OrthoArizona's clinical operations and revenue cycle.

As a DME Supervisor with OrthoArizona, you will get to:

• Serve as the primary relationship owner and escalation point for the external full-service DME vendor across all lines of service (ordering, inventory, dispensing, billing, and collections).
• Manage the vendor contract and statement of work: track deliverables, service-level agreements (SLAs), pricing, and renewal timelines, and coordinate with legal, procurement, and finance on amendments.
• Establish and run a recurring governance cadence (weekly operational check-ins, monthly business reviews, quarterly strategic reviews) with clear agendas, action items, and accountability.
• Define, monitor, and enforce vendor KPIs and SLAs, including fulfillment turnaround, dispensing accuracy, claim submission timeliness, denial rates, collection rates, and patient responsiveness.
• Reconcile vendor invoices, fees, and revenue-share or management arrangements against actual performance and contractual terms.
• Ensure the DME program complies with Medicare/Medicaid, commercial payer, and accreditation requirements, including documentation, Advance Beneficiary Notices (ABNs), and supplier standards.
• Drive adoption of new tools and processes through training, documentation, and ongoing support, measuring uptake and addressing resistance.
• Coordinate cross-functional projects among clinical staff, operations, IT, compliance, and the vendor, keeping scope, timeline, and risks on track.
• Responsible for DME inventory control and dispensing.
• Responsible for maintaining supply and stock of casting and splinting material.
• Oversee maintenance upkeep of equipment (Cast saw, ultrasound machine etc.).
• Ensure proper documentation at time of dispensing DME including but not limited to; ABN forms and proof of delivery.
• Remain current and up to date on all aspects of DME inventory management.
• Educate and train appropriate staff with DME dispensing procedures.
• Properly track and route all orders.
• Ensure prior authorization is obtained for DME items.
• All other duties assigned.

Qualifications:

• Bachelor's degree in healthcare administration, business, finance, or a related field — or equivalent combination of education and experience.
• 5+ years of experience in healthcare operations, revenue cycle, or program/project management, including direct experience managing external vendors or third-party service providers.
• Working knowledge of DME operations, medical billing, coding, and payer reimbursement (Medicare, Medicaid, and commercial).
• Demonstrated success leading cross-functional projects and change initiatives in a healthcare setting.
• Strong analytical skills with the ability to build and interpret operational and financial reporting (advanced Excel; comfort with dashboards/BI tools).
• High School Diploma or GED.
• Excellent communication, negotiation, and relationship-management skills across clinical and administrative audiences.

Preferred Qualifications:

• Experience in an orthopedic, multi-specialty, or ambulatory group practice environment.
• Direct experience with DME bracing, orthotics, and supplier accreditation standards.
• Familiarity with EHR/practice-management systems and revenue cycle platforms.
• Project management or process-improvement certification (PMP, Lean, Six Sigma) or change-management credential (e.g., Prosci).

Full Time Benefits:

• Robust paid time off package including, sick time, holidays, & paid time off!
• Medical - including a plan with 100% employer coverage- a $585 monthly value.
• Health Savings account + company contributions.
• Company paid life insurance policy + the option to purchase additional benefits to protect you from what life throws at you.
• 401(k) with a company contribution + profit sharing!