• Functional Business Consultant

    TEKsystems (Minneapolis, MN)


    Description

    PLooking for a functional business consultant to bridge the gap between the operational areas of the business and RxClaims. These are basically SME's of Claims, Benefits, Eligibility, Accums, and Prior authorization to RxClaims team. They are essential to workstream leads that work on new client implementations or system enhancement projects as it relates to RxClaims and ops.

     

    Skills

     

    Strategic planning, Business strategy, Data accuracy, Project development, RxClaims, Claims, benefits, PBM operations, Pharmacy, Eligibility, Intake, Prior Authorization, Strategy, Business analysis, Functional requirement

     

    Top Skills Details

     

    Strategic planning, Business strategy, Data accuracy, Project development, RxClaims,Claims, Benefits,PBM operations, Pharmacy, Eligibility, Intake, Prior Authorization

     

    Additional Skills & Qualifications

    Day to day responsibilities:

    • Work directly with business and users to support and improve existing applications and processes related to assigned business system.

    • With direction from a Functional Business Consultant, researches and resolves business and technical problems by identifying, evaluating, and implementing improvements to processes and applications.

    • Represents assigned business system or business process as a subject matter expert in the development of business requirements, system specifications, process flows, process change and/or project management.

    • Perform root cause analysis, monitor system defects for timely resolution, and complete research to determine financial impact to clients when system issues are discovered.

    • Advise clients on the implementation of new business processes and systems.

    • Monitor progress of projects to ensure objectives were achieved within established timelines.

    • Identified areas of improvement within the organization and provided guidance on strategic initiatives.

    Must have:

    Bachelor's or equivalent work experience

    5 years of business consultant experience

    5 years of RxClaims experience

     

    Must have knowledge of how RxClaims works in relation to operational areas vs IT areas.

     

    The best candidate will be a former Prime contractor/FTE to get up to speed quickly.

     

    Next would be someone working at another PBM with extensive knowledge with RxClaims and business partnerships.

    Experience Level

    Intermediate Level

    Pay and Benefits

    The pay range for this position is $70.00 - $85.00/hr.

     

    Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

     

    • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

     

    Workplace Type

     

    This is a fully remote position.

     

    Application Deadline

     

    This position is anticipated to close on May 16, 2025.

    About TEKsystems and TEKsystems Global Services

    We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

     

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.