Forvis Mazars US
Manager, Healthcare Performance Improvement - Pharmacy Services
Forvis Mazars US, Cincinnati, Ohio, United States, 45208
Manager, Healthcare Performance Improvement - Pharmacy Services
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Manager, Healthcare Performance Improvement - Pharmacy Services
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Forvis Mazars US 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 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
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Join to apply for the
Manager, Healthcare Performance Improvement - Pharmacy Services
role at
Forvis Mazars US 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 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
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