Managing Consultant - Payer/Provider Health - 340B Program Optimization

Job Family:

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 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.

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 Program

• Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.