Manager, Healthcare Performance Improvement

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 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 Beckers Apexus 340B Health HFMA etc.)

Minimum Qualifications:

• Bachelors 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-sized consulting firm(s)
• Pharm D. or bachelors degree in pharmacy
• Data visualization (Tableau or Power BI)
• AI experience