Manager, Healthcare Performance Improvement
6 hours ago
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.)
- 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
- Past experience with large/medium-sized consulting firms
- Pharm D. or bachelors degree in pharmacy
- Data visualization (Tableau or Power BI)
- AI experience
- Not Applicable
- Contract
- Health Care Provider
- Professional Services
IsExpired: false
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