Forvis Mazars, LLP
Manager, Healthcare Performance Improvement - Pharmacy Services
Forvis Mazars, LLP, Nashville, Tennessee, United States, 37247
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 formulary 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
Independent Reviews
HRSA Audit experience a plus
Policy and Procedure Development
340B network expansion (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‑size consulting firm(s)
Pharm D. or bachelor's degree in pharmacy
Data visualization (Tableau or Power BI)
AI experience
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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 formulary 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
Independent Reviews
HRSA Audit experience a plus
Policy and Procedure Development
340B network expansion (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‑size consulting firm(s)
Pharm D. or bachelor's degree in pharmacy
Data visualization (Tableau or Power BI)
AI experience
#J-18808-Ljbffr