Managing Consultant - PayerProvider Health - 340B Program Optimization
Managing Consultant - PayerProvider Health - 340B Program Optimization
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$ 102000 - 170000
1 Vacancy
Job Description
Job Family:
Strategy & Transformation Consulting
Travel Required:
Clearance Required:
What You Will Do:
We are seeking experienced pharmacy professionals to support and enhance our Pharmacy Practice. We are looking for professionals with experience in the following: 340B optimization Specialty Pharmacy PBM design outpatient infusion drug expense management pharmacy enterprise development and service line integration.
In this Consultant role you will work extensively with leading clients utilizing your expertise in Pharmacy business process improvement skills and business development skills to achieve personal and professional success for our clients.
Specific Responsibilities:
Identify opportunities to improve Pharmacy revenue cycle e.g. pricing strategies implementation of 340B pricing program Medicaid carveouts and CDM review.
Demonstrate expertise in the design and optimization of Specialty and Retail Pharmacy and PBM strategies that yield capture and health plan cost management.
Demonstrate expertise and understanding of endtoend pharmacy business processes.
Conceptualizes pharmacy related solution design provides structure for deliverable builds SOW plan and overseas or manages multiple work streams to get results intended.
Evaluate pharmaceutical distribution processes in the hospital ambulatory and outpatient settings. Include review of pharmacy technology and automation.
Work independently in client facing situations and guide others in the design development and implementation of innovative pharmacy solutions or design and implementation of improvements to existing processes in the pharmacy.
Work with teams through the assessment problem definition solution development issue and risk identification/mitigation and work plan development to ensure quality results that exceed our clients expectations.
Identify value creation opportunities for a project and manage financial assessment to develop business case and validate alternatives in the pharmacy.
Ability to work collaboratively in a teamoriented environment to deliver innovative solutions to our clients.
What You Will Need:
Requires a University Degree/BS.
Minimum of 57 years relevant work experience consulting experience is preferred. Advanced degree can be considered in lieu of years of work experience.
Knowledge of 340B requirements and operations assessment and optimization principals and concepts related to the pharmacy.
Specialty Pharmacy design and implementation experience.
Comprehensive Outpatient Infusion strategy design experience (HOPD nonHOPD Home).
Experience with analytics and value assessment for business case development and validation of alternative solutions.
Experience with communicating with all levels of staff.
Experience leading teams.
Ability to perform analyses related to opportunities in the Pharmacy.
What Would Be Nice To Have:
PharmD or advanced degree.
Pharmacy residency experience.
Payer PBM experience.
Six Sigma Certification.
What We Offer:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical Rx Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts
ShortTerm & LongTerm Disability
Student Loan PayDown
Tuition Reimbursement Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency BackUp Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting ator via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Required Experience:
Contract
Employment Type
Full-Time
