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Forvis Mazars US

Manager, Healthcare Performance Improvement - Pharmacy Services

Forvis Mazars US, Indianapolis, Indiana, us, 46262

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Manager, Healthcare Performance Improvement - Pharmacy Services Join to apply for the

Manager, Healthcare Performance Improvement - Pharmacy Services

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Forvis Mazars US 3 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Responsibilities

Assist with developing pharmacy strategies, business plans, and pharmacy processes Specialty pharmacy strategy Ambulatory 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 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 i.e., Drug Crosswalk Maintenance Compliance Reviews Policy and Procedure Development 340B network expansion i.e., development of 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 specific healthcare industry groups (ASHP, Becker's, Apexus, 340B Health, HFMA, etc.) 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 i.e., Drug Crosswalk Maintenance Compliance Reviews Independent Reviews HRSA Audit Experience a plus Policy and Procedure Development 340B network expansion i.e., development of contract pharmacy arrangements, child sites, direct purchases, orphan drugs, and other opportunities 340B Financial Reporting 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 specific 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 firm(s) Pharm D. or bachelor’s degree in pharmacy Data visualization (Tableau or Power BI) AI experience Referrals increase your chances of interviewing at Forvis Mazars US by 2x Get notified about new Healthcare Manager jobs in

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