Associate Director, Managing Consultant – Payer/Provider Health, 340B Program Optimization
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Job Description
Consultant role in Pharmacy Practice focusing on 340B Program Optimization delivering measurable results. Collaborating with clients to leverage pharmacy expertise and enhance revenue cycles.
Responsibilities:
- 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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