Associate Director - Payer Provider Health - 340BProgram Optimization
GuidehouseAbout the role
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 carve-outs, 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 end-to-end pharmacy business processes.
Conceptualizes pharmacy related solution design, provides structure for deliverable, builds SOW, execution 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 client’s 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 team-oriented environment to deliver innovative solutions to our clients.
What You Will Need:
Requires a University Degree/BS.
Minimum of 7-10 years relevant work experience, consulting experience is preferred.
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, non-HOPD, 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
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare
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