Manager, Healthcare Performance Improvement

24 hours ago


Atlanta, GA, United States Forvis Mazars US Full time
Manager, Healthcare Performance Improvement - Pharmacy Services

Join to apply for the Manager, Healthcare Performance Improvement - Pharmacy Services role at Forvis Mazars US

What You Will Do
  • Assist with developing pharmacy strategies, business plans, and pharmacy processes
  • Specialty pharmacy strategy
  • Ambulatory pharmacy
  • Inpatient pharmacy
  • Infusion services
  • Formulary management/pharmacy and therapeutic committee
  • Set up entity-owned pharmacies
  • Evaluate onsite pharmacies at entities
  • Evaluate entity formularies for opportunities
  • Assess pharmacy spending and quality outcomes
  • Pharmacy benefit manager
  • Payer contracting for pharmacy
  • Pharmacy billing and pricing
  • Pharmacy supply chain
  • Lead consulting engagements focused on specialty pharmacy compliance strategy, accreditation readiness, PBM access/credentialing, and regulatory adherence
  • Oversee the development and delivery of client-specific policies, procedures, workflows, training, and continuous quality improvement
  • Direct internal readiness assessments and mock audits for clients, identify compliance risks, and oversee mitigation plans with measurable outcomes
  • Support business development initiatives, including proposal development, scope design, and client presentations
  • Provide guidance to clients regarding their 340B and other pharmacy operations
  • Operational Assistance
  • Split-billing vendor implementations
  • Split-billing vendor maintenance (Drug Crosswalk Maintenance)
  • Compliance Reviews
  • Policy and Procedure Development
  • 340B network expansion (contract pharmacy arrangements, child sites, direct purchases, orphan drugs, and other opportunities)
  • Advise, communicate and present to all levels including C-suite, management, and pharmacy staff
  • Provide in-depth process knowledge and leadership to clients
  • Provide an unmatched client experience and identify additional value-added services
  • Active participant in healthcare industry groups (ASHP, Becker's, Apexus, 340B Health, HFMA, etc.)
Minimum Qualifications
  • Bachelor's degree in business, pharmacy, technology, health services administration, or a related field
  • 5+ years of prior healthcare consulting, pharmaceutical industry, or hospital environment experience
  • Significant expertise in advanced Excel, IT platforms, and healthcare
  • Strong technical skills, experience with spreadsheets, databases, and an automated audit work paper system
Preferred Qualifications
  • Past experience with large/medium-sized consulting firms
  • Pharm D. or bachelors degree in pharmacy
  • Data visualization (Tableau or Power BI)
  • AI experience
Seniority level
  • Not Applicable
Employment type
  • Contract
Job function
  • Health Care Provider
Industries
  • Professional Services

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