Forvis Mazars, LLP
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
Forvis Mazars, LLP, Nashville, Tennessee, United States, 37247
General information
Name
Consultant, Healthcare Performance Improvement
Posting Title
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
Ref #
2235140
Date Published
Thursday, June 19, 2025
City
Chicago
State
Illinois
Country
United States
Job Category
Healthcare Consulting
Office
Healthcare Performance Improvement (Forvis)
Advertised Location
US-GA-Atlanta, US-IL-Chicago, US-IL-Chicago, US-IN-Indianapolis, US-MO-Saint Louis, US-MO-Springfield, US-NC-Charlotte, US-NC-Charlotte, US-OH-Cincinnati, US-TN-Nashville
Working time
Full Time
Description & Requirements
The Healthcare Consulting Performance Improvement team is looking for a Consultant to join the team in supporting clients in the Pharmacy and Clinic Services space specifically as it relates to compliance, program optimization, and financial performance. What you will do:
Assist with Financial/Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics. Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts Assist with PowerPoint presentation reports Assist with developing provider-based strategy, gap assessments, and transition advisory processes. Provide guidance to clients regarding provider-based departments. Operational Assistance Split-billing (technical/professional) Chargemaster requirements CMS Provider-Based Clinic regulations and Federal and State regulations Compliance with provider-based rule requirements CMS Checklists Assimilate provider-based checklists (attestations) Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC Policy and Procedure Development Survey readiness assistance Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes. Prepare Medicare RHC cost reporting schedules. Calculating RHC visits Calculating FTEs for productivity Provide guidance to clients regarding their 340B and other pharmacy operations: Policy and Procedure Development 340B network expansion i.e., development of contract pharmacy arrangements, child sites, direct purchases, orphan drugs, and other opportunities Operational Assistance Split-billing vendor implementations Split-billing vendor maintenance i.e., Drug Crosswalk Maintenance Compliance Reviews Independent Reviews HRSA Audit Experience a plus Advise, communicate, and present to all levels including C-suite, management, and clinic staff. Provide in-depth provider-based processes and regulatory knowledge to clients. Provide an unmatched client experience and identify additional value-added services Active participant in specific healthcare industry groups (Becker's, Apexus, 340B Health, HFMA, etc.) Minimum Qualifications:
Bachelor's degree in Business, Pharmacy, Accounting, Finance, Health Services Administration, or a related field Experience with Excel, IT platforms, and solid skills in using spreadsheets, databases, and automated audit tools.
Preferred Qualifications:
2+ years of experience working within the healthcare industry, specifically consulting or with a hospital Experience in the following areas: Healthcare provider-based billing Provider-based attestation compliance and submission to Medicare Medicare/Medicaid Hospital cost reporting Practice operational knowledge in provider-based physician practices, or RHCs. EPIC Data visualization (Tableau or Power BI)
#LI-ATL, #LI-OAK, #LI-CHI, #LI-IND, #LI-STL, #LI-SGF, #LI-CLTSP, #LI-CLTU, #LI-CIN, #LI-NASH
#LI-BM
Illinois Wage Transparency
Pursuant to Illinois' Equal Pay Act, the salary range displayed is for the Illinois market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek. Benefits are eligibility-based and could include group health plan benefits, 401(K), bonuses, profit-sharing contributions, flexible time off, and parental leave. For more information on benefits, please visit https://resourcecenter.forvismazars.us/. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
IL Minimum Salary (USD)
$ 55000
IL Maximum Salary (USD)
$ 82500
Name
Consultant, Healthcare Performance Improvement
Posting Title
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
Ref #
2235140
Date Published
Thursday, June 19, 2025
City
Chicago
State
Illinois
Country
United States
Job Category
Healthcare Consulting
Office
Healthcare Performance Improvement (Forvis)
Advertised Location
US-GA-Atlanta, US-IL-Chicago, US-IL-Chicago, US-IN-Indianapolis, US-MO-Saint Louis, US-MO-Springfield, US-NC-Charlotte, US-NC-Charlotte, US-OH-Cincinnati, US-TN-Nashville
Working time
Full Time
Description & Requirements
The Healthcare Consulting Performance Improvement team is looking for a Consultant to join the team in supporting clients in the Pharmacy and Clinic Services space specifically as it relates to compliance, program optimization, and financial performance. What you will do:
Assist with Financial/Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics. Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts Assist with PowerPoint presentation reports Assist with developing provider-based strategy, gap assessments, and transition advisory processes. Provide guidance to clients regarding provider-based departments. Operational Assistance Split-billing (technical/professional) Chargemaster requirements CMS Provider-Based Clinic regulations and Federal and State regulations Compliance with provider-based rule requirements CMS Checklists Assimilate provider-based checklists (attestations) Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC Policy and Procedure Development Survey readiness assistance Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes. Prepare Medicare RHC cost reporting schedules. Calculating RHC visits Calculating FTEs for productivity Provide guidance to clients regarding their 340B and other pharmacy operations: Policy and Procedure Development 340B network expansion i.e., development of contract pharmacy arrangements, child sites, direct purchases, orphan drugs, and other opportunities Operational Assistance Split-billing vendor implementations Split-billing vendor maintenance i.e., Drug Crosswalk Maintenance Compliance Reviews Independent Reviews HRSA Audit Experience a plus Advise, communicate, and present to all levels including C-suite, management, and clinic staff. Provide in-depth provider-based processes and regulatory knowledge to clients. Provide an unmatched client experience and identify additional value-added services Active participant in specific healthcare industry groups (Becker's, Apexus, 340B Health, HFMA, etc.) Minimum Qualifications:
Bachelor's degree in Business, Pharmacy, Accounting, Finance, Health Services Administration, or a related field Experience with Excel, IT platforms, and solid skills in using spreadsheets, databases, and automated audit tools.
Preferred Qualifications:
2+ years of experience working within the healthcare industry, specifically consulting or with a hospital Experience in the following areas: Healthcare provider-based billing Provider-based attestation compliance and submission to Medicare Medicare/Medicaid Hospital cost reporting Practice operational knowledge in provider-based physician practices, or RHCs. EPIC Data visualization (Tableau or Power BI)
#LI-ATL, #LI-OAK, #LI-CHI, #LI-IND, #LI-STL, #LI-SGF, #LI-CLTSP, #LI-CLTU, #LI-CIN, #LI-NASH
#LI-BM
Illinois Wage Transparency
Pursuant to Illinois' Equal Pay Act, the salary range displayed is for the Illinois market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek. Benefits are eligibility-based and could include group health plan benefits, 401(K), bonuses, profit-sharing contributions, flexible time off, and parental leave. For more information on benefits, please visit https://resourcecenter.forvismazars.us/. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
IL Minimum Salary (USD)
$ 55000
IL Maximum Salary (USD)
$ 82500