Managing Consultant - Payer Provider Health - 340B Program Optimization

February 8

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Guidehouse

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Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

consulting • advisory • digital • technology • managed services

10,000+ employees

Founded 2018

💰 Grant on 2023-02

📋 Description

• 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. • 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. • Conceptualizes pharmacy related solution design, provides structure for deliverable, builds SOW, execution plan and oversees or manages multiple work streams to get results intended. • 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.

🎯 Requirements

• Requires a University Degree/BS. • Minimum of 5-7 years relevant work experience, consulting experience is preferred. • Advanced degree can be considered in lieu of years of work experience. • 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.

🏖️ 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