Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE

Lensa; Phoenix (AZ); 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 for a remote role. This position involves advising on compliance with Medicaid and other regulations, leading process improvements, and mentoring team members. The ideal candidate will have significant experience in business analysis and project management, particularly in healthcare settings. This role offers a competitive salary based on experience, along with opportunities for professional growth.

Qualifications

• At least 5 years of experience in business analysis, project management, or process improvement.
• 3 years in compliance or related areas.

Responsibilities

• Serve as a subject matter expert in compliance and project management.
• Advise on laws, regulations, policies, and procedures related to healthcare.
• Mentor team members and support audit processes.

Skills

Business Analysis

Project Management

Regulatory Compliance

Education

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

Job description

Senior Functional Business Consultant/ Regulatory Compliance exp required - REMOTE

This job posting from Prime Therapeutics seeks a Senior Functional Business Consultant with expertise in Regulatory Compliance for a remote position. The role involves serving as a subject matter expert in business systems and processes, supporting compliance with Medicaid and other regulatory requirements, and providing leadership in process improvement and regulatory adherence.

Responsibilities include:

• Representing business systems or processes as a subject matter expert in compliance and project management.
• Providing leadership and consulting on laws, regulations, policies, and procedures related to healthcare and government programs.
• Advising internal clients on Medicaid regulatory and contractual compliance.
• Researching and resolving complex business and technical issues.
• Mentoring team members and supporting audit processes.

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 3 years in compliance or related areas.
• Eligibility to work in the U.S. without sponsorship.

Preferred qualifications:

• Extended experience in healthcare or pharmacy benefit management, including Medicaid and ACA.
• Certifications such as CCEP, CHC, or PMP are a plus.

Physical requirements:

• Occasional travel and non-standard hours.
• Ability to sit, use hands, and perform visual tasks.

Reporting structure: Reports to a manager or director in relevant operational departments.

Salary range: $81,000 - $138,000 annually, based on experience.

Prime Therapeutics is an equal opportunity employer committed to diversity and inclusion. Applicants requiring accommodations are encouraged to contact HR.