Functional Business Consultant - Remote
Prime Therapeutics, New York, NY, United States
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Functional Business Consultant - Remote
Job Description
The Functional Business Consultant serves as a subject matter expert for assigned business systems or processes, providing guidance on internal and client projects, regulatory requirements, and process improvements. This role leverages advanced research, impact analysis, and issue resolution to enhance business operations, while also managing documentation, communications, training, testing, audits, and ongoing system support. The position ensures compliance, strengthens client interaction, and develops reporting solutions to drive organizational efficiency and effectiveness.
Responsibilities
Serve as subject matter expert for assigned business systems or processes, developing requirements, specifications, process flows, and supporting change management or project delivery
Partner with internal and external stakeholders to maintain and enhance existing applications, resolving business and technical issues to improve efficiency and user experience
Research, evaluate, and recommend improvements to processes and system functionality, applying operational best practices and aligning with business needs
Conduct system testing, including creation of test plans and cases, execution of User Acceptance Testing (UAT), and documentation of results to ensure quality and compliance
Collaborate across teams to monitor and ensure compliance with applicable regulations, laws, and audit requirements, while mitigating risk through proactive process improvements
Contribute to standard operating procedures (SOPs) and documentation to support ongoing system governance and knowledge transfer
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
2 years of work experience in business analysis, project management, regulatory, and/or process improvement to include: 1 year of functional experience in at least one of the following areas: claims, eligibility, product, benefits, implementations
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Ability to establish and maintain relationships with clients
Knowledge of and ability to understand highly analytical pharmaceutical claims data and general understanding of medical claims data
Ability to conduct self-learning of new processes and software to solve analytic problems
Interpersonal skills necessary to drive results and deliver on commitments
Skilled in meeting facilitation, conflict management, and consensus building
Ability to handle multiple projects simultaneously and 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 skills
Ability to perform regulatory or audit research
?
Preferred Qualifications
Claims system proficiency
Previous PBM or healthcare experience
Experience using queries
Regulatory, Compliance, or Audit experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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.
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.
Job Posting Title
Functional Business Consultant - Remote
Job Description
The Functional Business Consultant serves as a subject matter expert for assigned business systems or processes, providing guidance on internal and client projects, regulatory requirements, and process improvements. This role leverages advanced research, impact analysis, and issue resolution to enhance business operations, while also managing documentation, communications, training, testing, audits, and ongoing system support. The position ensures compliance, strengthens client interaction, and develops reporting solutions to drive organizational efficiency and effectiveness.
Responsibilities
Serve as subject matter expert for assigned business systems or processes, developing requirements, specifications, process flows, and supporting change management or project delivery
Partner with internal and external stakeholders to maintain and enhance existing applications, resolving business and technical issues to improve efficiency and user experience
Research, evaluate, and recommend improvements to processes and system functionality, applying operational best practices and aligning with business needs
Conduct system testing, including creation of test plans and cases, execution of User Acceptance Testing (UAT), and documentation of results to ensure quality and compliance
Collaborate across teams to monitor and ensure compliance with applicable regulations, laws, and audit requirements, while mitigating risk through proactive process improvements
Contribute to standard operating procedures (SOPs) and documentation to support ongoing system governance and knowledge transfer
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
2 years of work experience in business analysis, project management, regulatory, and/or process improvement to include: 1 year of functional experience in at least one of the following areas: claims, eligibility, product, benefits, implementations
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Ability to establish and maintain relationships with clients
Knowledge of and ability to understand highly analytical pharmaceutical claims data and general understanding of medical claims data
Ability to conduct self-learning of new processes and software to solve analytic problems
Interpersonal skills necessary to drive results and deliver on commitments
Skilled in meeting facilitation, conflict management, and consensus building
Ability to handle multiple projects simultaneously and 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 skills
Ability to perform regulatory or audit research
?
Preferred Qualifications
Claims system proficiency
Previous PBM or healthcare experience
Experience using queries
Regulatory, Compliance, or Audit experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local 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.
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.