Senior Functional Implementation Consultant - Remote

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

Senior Functional Implementation Consultant - RemoteJob Description

The Functional Business Consultant serves as a business system or business process subject matter expert with a high level of understanding of the accounting and financial ecosystem supporting the PBM business. This position will represent the finance and accounting functions 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, reporting development and coordinating audits responses.

Responsibilities

• Functional lead for the successful implementation of new client and expansion business
• Represents the effective accounting and financial systems and processes as a subject matter expert in business requirements, system specifications, 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 the assigned accounting and finance business system or business process
• Effectively interfaces with clients to provide implementation guidance, adherence to standards, and successful implementation outcomes
• 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
• Facilitates testing of new or improved systems or processes including creation of a test plans, identifying test cases, and performing or leading User Acceptance and Joint Cycle Testing
• May provide guidance, mentoring, and work direction to others on the team
• 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
• 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, payment and billing, implementations or related area)
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

• Proven client service skills with a track record for building strong client relations
• Client implementation experience
• Thorough understanding of pharmaceutical claims data and general understanding of medical claims data
• Advanced excel and query proficiency, highly analytical
• Ability to grasp complex issues and collaborate to define solutions Self learns new processes/software to solve analytic problems
• Ability to work through ambiguous requests and determine relevant facts and questions to build out meaningful solutions
• Expert interpersonal skills necessary to drive results and deliver on commitments in a collaborative fashion
• Skillful 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 presentation experience
• Proficiency in Microsoft Office:   Excel, Word, Project, PowerPoint, and Visio

Preferred Qualifications

• Degree in Accounting or Finance
• Claims system understanding
• Previous PBM or healthcare experience
• ERP system experience

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 Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, Finance or Supply Chain Shared Services

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.