Forvis Mazars US
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
Forvis Mazars US, Indianapolis, Indiana, us, 46262
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
Join to apply for the
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
role at
Forvis Mazars US Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
1 day ago Be among the first 25 applicants Join to apply for the
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
role at
Forvis Mazars US 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. 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.
How You Will Contribute
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)
, , , , , , , , ,
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
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
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Join to apply for the
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
role at
Forvis Mazars US Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
1 day ago Be among the first 25 applicants Join to apply for the
Consultant, Healthcare Performance Improvement - Pharmacy & Clinic Services
role at
Forvis Mazars US 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. 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.
How You Will Contribute
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)
, , , , , , , , ,
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
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Consulting, Information Technology, and Sales Industries Professional Services Referrals increase your chances of interviewing at Forvis Mazars US by 2x Get notified about new Performance Improvement Consultant jobs in
Indianapolis, IN . Fishers, IN $65,463.00-$79,902.00 3 weeks ago Indianapolis, IN $45.00-$50.00 10 hours ago Healthcare Business Analyst - Indianapolis Health
Indiana, United States $45.00-$50.00 1 day ago Indianapolis, IN $55.00-$60.00 16 hours ago Indiana, United States $50.00-$52.00 17 hours ago Indiana, United States $47.00-$53.00 4 days ago Quality Improvement Consultant - Emergency Department
Client Services Business Analyst - Healthcare Data
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Business Transformation, Healthcare Provider Operations Consulting_Manager
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Indianapolis, IN $150,400.00-$343,600.00 1 day ago Pharmacy Benefits Plan Consulting Specialist Master
Greater Indianapolis $124,700.00-$229,500.00 1 week ago Quality Improvement Consultant - Maternity
Indianapolis, IN $68,500.00-$137,000.00 7 hours ago Indianapolis, IN $120,000.00-$150,000.00 1 week ago Indianapolis, IN $6,511.62-$10,444.28 4 months ago Pharmacy System Business Analyst Technician - Integrated Service Center
Risk Adjustment Actuarial Business Analyst II
Indianapolis, IN $71,136.00-$134,784.00 2 days ago Customers Ops Healthcare Life Science Veeva CRM Senior Consultant
Greater Indianapolis $131,175.00-$218,625.00 1 week ago Indiana, United States $26.50-$47.59 1 week ago Actuarial Consultant - Government Healthcare
Indianapolis, IN $73,500.00-$147,000.00 1 week ago Indiana, United States $26.50-$47.59 1 week ago Actuarial Consultant - Government Healthcare
Indianapolis, IN $73,500.00-$147,000.00 1 hour ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr