Associate Functional Business Consultant - Remote

at  Prime Therapeutics

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 Title
Associate Functional Business Consultant - Remote
Job Description
The Associate Functional Business Consultant serves as a business system or business process subject matter expert for 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, 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 the development of business requirements, system specifications, process flows, process change and/or project management
• Participates in adopting operational best practices and standard operating procedures as it relates to assigned business system or business process
• Works directly with business, IT, and users to support and improve existing applications and processes related to assigned business system
• Independently, or with direction from an FBC or department leader, researches and resolves business and technical problems by identifying, evaluating, and implementing improvements to processes and applications
• May conduct testing, including creation of a test plan, test cases, performing User Acceptance Testing and Joint Cycle Testing
• Other duties as assigned

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 required
• 3 years of work experience in business analysis, project management, and/or process improvement to include:
• 1 year of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or area related to the department with which the position resides)
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

• Experience establishing and maintaining relationships with clients
• Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical
• Self learns new processes / software to solve analytic problems
• Interpersonal skills necessary to drive results and deliver on commitments
• Experienced at meeting facilitation, conflict management, and consensus building
• Capable of handling multiple projects simultaneously and ability to work under pressure with strict timelines in a fast-paced work environment
• Excellent verbal and written communication skills with prior experience giving presentations
• Proficiency in Microsoft Word, Excel, PowerPoint, Project and Visio

Preferred Qualifications

• Rx Claims system proficiency
• Previous PBM or healthcare experience
• Experience using queries
• Experience working with Medicare Part D

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

• Reports to a Functional Business Consultant, Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, Clinical Review, or Supply Chain Shared Services

Potential pay for this position ranges from $85,600.00 - $128,400.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
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

• Represents assigned business system or business process as a subject matter expert in the development of business requirements, system specifications, process flows, process change and/or project management
• Participates in adopting operational best practices and standard operating procedures as it relates to assigned business system or business process
• Works directly with business, IT, and users to support and improve existing applications and processes related to assigned business system
• Independently, or with direction from an FBC or department leader, researches and resolves business and technical problems by identifying, evaluating, and implementing improvements to processes and applications
• May conduct testing, including creation of a test plan, test cases, performing User Acceptance Testing and Joint Cycle Testing
• Other duties as assigne