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Manager, Healthcare Improvement - Pharmacy Services

Job in Nashville, Davidson County, Tennessee, 37247, USA
Listing for: Forvis Mazars, LLP
Full Time position
Listed on 2026-01-01
Job specializations:
  • Healthcare
  • Pharmaceutical
Job Description & How to Apply Below
Position: Manager, Healthcare Performance 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.)
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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