Manager, Healthcare Performance Improvement - Pharmacy Services

Multiple Locations: Nashville, TN, USA • Indianapolis, IN, USA • St. Louis, MO, USA • Springfield, MO, USA • Cincinnati, OH, USA • Atlanta, GA, USA • Charlotte, NC, USA

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Company Profile:

At FORVIS, your career is designed with a purpose. We want our team members to thrive professionally and feel the impact their work yields when serving clients, industries, and local communities. This starts by empowering team members to design a career journey that leverages their skills and fuels their passions.

Creating a best-in-class employee experience is at the heart of our vision for the future. With several industry focus areas, multiple service lines, and locations in five geographical regions across the country to choose from, the opportunities for your career are without limit.

About FORVIS

FORVIS is a Top-10 professional services firm providing assurance, tax, and advisory services, driven by our commitment to using our forward vision to provide rewarding career opportunities and deliver unmatched client experiences. Learn more at FORVIS.com

Design your career with purpose at FORVIS. For more information about our firm locations, visit FORVIS.com. FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, or other protected classifications.

It is FORVIS's standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

• FORVIS expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
• FORVIS further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with FORVIS.
• Any resume or CV submitted to any employee of FORVIS without having a FORVIS vendor agreement in place will be considered the property of FORVIS.

Requisition Number: 2235649

Position Title:

External Description: Description & Requirements

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

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City: Nashville

State: Tennessee

Community / Marketing Title: Manager, Healthcare Performance Improvement - Pharmacy Services

Location_formattedLocationLong: Nashville, Tennessee US

CountryEEOText_Description:

With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.

We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.

About Forvis Mazars, LLP

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.

Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.