Manager, Healthcare Performance Improvement

General Information

Name Manager, Healthcare Performance Improvement Posting Title Manager, Healthcare Performance Improvement - Pharmacy Services Ref # 2235649 Date Published Wednesday, August 20, 2025 City Nashville State Tennessee Country United States Job Category Healthcare Consulting Office Healthcare Performance Improvement (Forvis) Advertised Location US-GA-Atlanta, US-IN-Indianapolis, US-MO-Saint Louis, US-MO-Springfield, US-NC-Charlotte, US-OH-Cincinnati, US-TN-Nashville Working time Full Time

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

#LI-ATL, #LI-OAK, #LI-IND, #LI-STL, #LI-SGF, #LI-CLTSP, #LI-CIN, #LI-NASH #LI-AF1