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

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

Functional Business Consultant

Key skills