Manager, Healthcare Improvement - Pharmacy Services

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Manager, Healthcare Performance Improvement - Pharmacy Services

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• 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.)

• 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.)

• 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

• 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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