Associate Director, Managing Consultant – Payer/Provider Health, 340B Program Optimization
Job Description:
• Identify opportunities to improve pharmacy revenue cycle performance (e.g., pricing strategies, 340B program implementation, Medicaid carve-outs, and CDM review).
• Lead the design and optimization of specialty and retail pharmacy strategies, including PBM models that improve capture and manage health plan costs.
• Apply an end-to-end understanding of pharmacy business processes to diagnose issues and design practical solutions.
• Develop pharmacy solution designs and provide structure for deliverables, including scope of work (SOW), execution plans, and management of multiple workstreams to achieve intended outcomes.
• Evaluate pharmaceutical distribution processes across hospital, ambulatory, and outpatient settings, including assessment of pharmacy technology and automation.
• Operate independently in client-facing environments and mentor others in the design, development, and implementation of innovative pharmacy solutions and process improvements.
• Lead teams through assessment, problem definition, solution development, issue and risk identification/mitigation, and work plan development to deliver high-quality results that exceed client expectations.
• Identify value-creation opportunities and perform financial analyses to build business cases and evaluate alternatives.
• Collaborate effectively in a team-oriented environment to deliver innovative solutions for clients.
Requirements:
• Bachelor’s degree (BS) required.
• 5–7 years of relevant experience; consulting experience preferred.
• Knowledge of 340B requirements, operations assessment, and optimization principles related to pharmacy.
• Specialty pharmacy strategy, design, and/or implementation experience.
• Experience designing outpatient infusion strategies (HOPD, non-HOPD, and home).
• Experience using analytics and value assessments to develop business cases and validate solution alternatives.
• Strong communication skills with the ability to engage stakeholders at all levels.
• Demonstrated experience leading teams and delivering client workstreams.
• Ability to perform analyses to identify and quantify pharmacy improvement opportunities.
Benefits:
• 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 Program
• Mobility Stipend
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• Identify opportunities to improve pharmacy revenue cycle performance (e.g., pricing strategies, 340B program implementation, Medicaid carve-outs, and CDM review).
• Lead the design and optimization of specialty and retail pharmacy strategies, including PBM models that improve capture and manage health plan costs.
• Apply an end-to-end understanding of pharmacy business processes to diagnose issues and design practical solutions.
• Develop pharmacy solution designs and provide structure for deliverables, including scope of work (SOW), execution plans, and management of multiple workstreams to achieve intended outcomes.
• Evaluate pharmaceutical distribution processes across hospital, ambulatory, and outpatient settings, including assessment of pharmacy technology and automation.
• Operate independently in client-facing environments and mentor others in the design, development, and implementation of innovative pharmacy solutions and process improvements.
• Lead teams through assessment, problem definition, solution development, issue and risk identification/mitigation, and work plan development to deliver high-quality results that exceed client expectations.
• Identify value-creation opportunities and perform financial analyses to build business cases and evaluate alternatives.
• Collaborate effectively in a team-oriented environment to deliver innovative solutions for clients.
Requirements:
• Bachelor’s degree (BS) required.
• 5–7 years of relevant experience; consulting experience preferred.
• Knowledge of 340B requirements, operations assessment, and optimization principles related to pharmacy.
• Specialty pharmacy strategy, design, and/or implementation experience.
• Experience designing outpatient infusion strategies (HOPD, non-HOPD, and home).
• Experience using analytics and value assessments to develop business cases and validate solution alternatives.
• Strong communication skills with the ability to engage stakeholders at all levels.
• Demonstrated experience leading teams and delivering client workstreams.
• Ability to perform analyses to identify and quantify pharmacy improvement opportunities.
Benefits:
• 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 Program
• Mobility Stipend
Apply tot his job
Apply To this Job