Functional Bus Consultant in Mendota, MN

$80K - $100K(Ladders Estimates)

Prime Therapeutics   •  

Mendota, MN 55150

Industry: Finance & Insurance

  •  

5 - 7 years

Posted 56 days ago

Job Posting Title

Functional Bus Consultant

Job Description

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 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 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

Minimum Qualifications


  • Bachelor's degree in business administration or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of business, project management, process improvement or related work experience to include:
  • 3 years PBM or healthcare industry experience, including 3 years of functional experience in at least one of the specific areas for position (claims, eligibility, formulary, benefits, or related area)
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications


  • 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 in a fast-paced work environment
  • Excellent verbal and written communication skills with prior experience giving presentations
  • Proficiency in Microsoft Word, Excel, Project

Preferred Qualifications


  • Rx Claims system proficiency

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, Marketing, Finance or Pharmacy & Network Services


Valid Through: 2019-10-14