Requisition Number2234028 Description & Requirements
The Healthcare Consulting Performance Improvement team is looking for a Consultant to join the team in supporting clients in the Pharmacy and Clinic Services space specifically as it relates to compliance, program optimization, and financial performance.
How you will contribute :
- Assist with Financial / Reimbursement assessments to determine reimbursement opportunities for on-campus and off-campus provider-based departments as well as freestanding and provider-based Rural Health clinics.
- Responsible for the financial analysis proactive calculations and modeling of new regulatory changes and impacts
- Assist with PowerPoint presentation reports
- Assist with developing provider-based strategy, gap assessments, and transition advisory processes. Provide guidance to clients regarding provider-based departments.
- Operational Assistance
- Split-billing (technical / professional)
- Chargemaster requirements
- CMS Provider-Based Clinic regulations and Federal and State regulations
- Compliance with provider-based rule requirements
- CMS Checklists
- Assimilate provider-based checklists (attestations)
- Assist with transitions to Rural Health Clinic (RHC) or Provider Based RHC
- Policy and Procedure Development
- Survey readiness assistance
- Become proficient in provider-based (42 CFR 413.65) and RHC regulations and stay abreast of ongoing legislative changes.
- Prepare Medicare RHC cost reporting schedules.
- Calculating RHC visits
- Calculating FTEs for productivity
- Provide guidance to clients regarding their 340B and other pharmacy operations :
- Policy and Procedure Development
- 340B network expansion i.e., development of contract pharmacy arrangements, child sites, direct purchases, orphan drugs, and other opportunities
- Operational Assistance
- Split-billing vendor implementations
- Split-billing vendor maintenance i.e., Drug Crosswalk Maintenance
- Compliance Reviews
- Independent Reviews
- HRSA Audit Experience a plus
- Advise, communicate, and present to all levels including C-suite, management, and clinic staff.
- Provide in-depth provider-based processes and regulatory knowledge to clients.
- Provide an unmatched client experience and identify additional value-added services
- Active participant in specific healthcare industry groups (Becker's, Apexus, 340B Health, HFMA, etc.)
We are looking for people with Forward Vision and :
- Strong analytical and communication skills
- Ability to deliver work products consistently and with high-quality.
- Demonstrated ability to think independently and train other team members as needed.
- Ability to travel up to 50%, depending on client commitments.
- Highly motivated and self-driven to exceed client needs and timelines.
Minimum Qualifications :
- Bachelor's degree in Business, Accounting, Finance, Health Services Administration, or a related field
- 2 years or more of experience working within the healthcare industry, specifically consulting or with a hospital
- Significant experience in advanced Excel, IT platforms, and healthcare
- Strong technical skills, experience with spreadsheets, databases, and an automated audit work paper system
- Experience with project management
Preferred Qualifications :
- Experience in the following areas :
- Healthcare provider-based billing
- Provider-based attestation compliance and submission to Medicare
- Medicare / Medicaid Hospital cost reporting
- Practice operational knowledge in provider-based physician practices, or RHCs.
- EPIC
- Data visualization (Tableau or Power BI)
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With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural.
We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.
We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.
About Forvis Mazars, LLP
Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network.
Visit forvismazars.us to learn more.
Forvis Mazars, LLP is an equal opportunity / affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.
Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and / or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.
Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.
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