Massachusetts Jobs

MassHire JobQuest Logo

Job Information

Prime Therapeutics Functional Bus Consultant in Boston, Massachusetts

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

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

  • May facilitate testing for new or improved systems or processes including creation of a test plan, 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, 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

  • Implementation experience

  • Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical

  • Self learns new processes/software to solve analytic problems

  • 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 experience giving presentations

  • Proficiency in Microsoft Word, Excel, Project, PowerPoint, and Visio

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

  • 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 $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.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

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, sexual orientation, gender identity, national origin, disability, or veteran status. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

DirectEmployers