Manager, Healthcare Improvement - Pharmacy Services

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.)

• 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‑size consulting firm(s)
• Pharm D. or bachelor's degree in pharmacy
• Data visualization (Tableau or Power BI)
• AI experience