Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE

Lensa; Madison (WI); Remote; USD 81,000 - 138,000; Full time

Job summary

A leading company is seeking a Senior Functional Business Consultant with expertise in Regulatory Compliance to join their remote team. This role is crucial for ensuring compliance and operational excellence, guiding initiatives related to Medicaid and government regulations. The ideal candidate will have a strong background in business analysis, project management, and compliance, along with excellent communication and negotiation skills. The position offers a competitive salary and comprehensive benefits.

Benefits

Comprehensive benefits

Supportive work environment

Qualifications

• At least 5 years of experience in business analysis, project management, or process improvement.
• Legal authorization to work in the U.S. without sponsorship.

Responsibilities

• Serve as a subject matter expert on compliance and regulatory standards.
• Support and lead compliance initiatives and process improvements.
• Mentor team members and collaborate with stakeholders.

Skills

Communication

Negotiation

Project Management

Education

Bachelor’s degree in business, IT, or related field

Tools

CCEP

CHC

PMP

Job description

Senior Functional Business Consultant/ Regulatory Compliance exp required - REMOTE

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Senior Functional Business Consultant / Regulatory Compliance (Remote)

Prime Therapeutics is seeking a Senior Functional Business Consultant with expertise in Regulatory Compliance to join our team remotely. Our mission is to help people get the medicine they need to feel better and live well, and this role plays a vital part in ensuring our compliance and operational excellence.

Responsibilities

• Serve as a subject matter expert on business systems or processes related to compliance, Medicaid requirements, and regulatory standards.
• Support and lead compliance initiatives, process improvements, and audits.
• Provide guidance on laws and regulations, including the Affordable Care Act, Medicaid, and other government programs.
• Research and resolve complex business and technical issues, ensuring customer satisfaction.
• Mentor team members and collaborate with internal and external stakeholders.

Minimum Qualifications

• Bachelor’s degree in business, IT, or related field, or equivalent experience.
• At least 5 years of experience in business analysis, project management, or process improvement, with a focus on compliance or healthcare.
• Legal authorization to work in the U.S. without sponsorship.

Preferred Qualifications

• Experience with Medicaid, ACA, and healthcare regulations.
• Certifications such as CCEP, CHC, or PMP.
• Strong communication, negotiation, and project management skills.

Additional Details

This role may require occasional non-standard hours and travel. Physical requirements include sitting, using hands, and vision-related tasks. The position reports to a manager or director within our operations or compliance teams.

Compensation ranges from $81,000 to $138,000 annually, depending on experience. We offer comprehensive benefits and a supportive, inclusive work environment.