Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleFunctional Business ConsultantJob DescriptionPurpose:The Functional Business Consultant serves as a business system or business process subject matter expert with a high level of understanding of their assigned area. This position will represent their area of expertise with regard to business system knowledge on internal and client projects, regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training, testing, ongoing system support, and developing reports and coordinating audits.Responsibilities:
Represents assigned business system or business process as a subject matter expert in business requirements, system specification, process flows, process change and/or project management
Provides leadership to the business in the identification and adoption of operational best practices and standard operating procedures as it relates to assigned business system or business process
Independently researches, determines root cause and collaborates with others to resolve complex business and technical issues and customer inquiries.
Provides prompt and thorough resolution for client and/or member satisfaction
Other duties as assigned
Required Minimum Qualifications:
Bachelor’s degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is require
5 years of work experience in business analysis, project management, and/or process improvement to include: 3 years of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or related area)
Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications:
Client implementation experience
Advanced experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical
Self learns new processes/software to solve analytic problems
Proficient at meeting facilitation, conflict management, and consensus building
Proven client service skills with a track record for building strong client relations
Capable of handling multiple projects simultaneously and ability to work under pressure with strict timelines
Excellent verbal and written communication skills with prior experience giving presentations
Proven problem solving and solution crafting skills
Proficiency in Microsoft Word, Excel, Project. Lotus Notes experience desired
Ability to work in a fast-paced and dynamic work environment
Ability to grasp complex issues and determine solutions
Preferred Qualifications:
Rx Claims system proficiency
Previous PBM or healthcare experience
Advanced experience using queries
Minimum Physical Job Requirements:
Occasional non-standard hours and travel may be required
Constantly required to sit, use hands to handle or feel, talk and hear
Frequently required to reach with hands and arms
Occasionally required to stand, walk and stoop, kneel, and crouch
Occasionally required to lift and/or move up to 10 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Reporting Structure
Can report to a Functional Business Owner, Manager or a Director in PBM Operations, Specialty Operations, Clinical Operations, Market Segment Services, Finance or Pharmacy & Network Services
Potential pay for this position ranges from $94,700.00 - $151,300.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.Positions will be posted for a minimum of five consecutive workdays.
