Job Description

The Business Consultant will be a Subject Matter Expert (SME) responsible for supporting the implementation of new clients as well as ongoing client production support for the MHK CareProminence solution. This role serves as the bridge between the client and customer operations for implementation, production support, development, configuration, quality assurance, product documentation, and compliance. This role will provide product design direction throughout the customer lifecycle to ensure a consistent customer experience while maintaining the integrity of the MHK solution design for the customer. The ideal candidate has the passion and desire to foster highly satisfied customers, improve the product line, advance their own knowledge, and help remove impediments so the team can consistently move forward. Responsibilities Support client implementations of MHK's Care Management software solutions for Utilization Management, Care Management, Pharmacy Management, and Appeals as a subject matter expert to ensure the success of our clients. Define product content, workflows and service level agreements required to meet client requirements, as well as the regulatory and accreditation requirements of the industry. Build rapport and trust with clients while working closely with internal release management, development, IT/Operations, compliance and other departments for timely implementation of new platform feature enhancements, continued product support and product innovation. Document and maintain use case requirements to test accurate system functionality testing. Conduct end to end module testing for MHK solutions to ensure accurate functionality prior to releasing to internal models and/or new revision releases. Identify problems within the MHK clinical solutions and communicate them through established change management process. Provide solutions approvals as required by the release management process. Grow client trust organically as a product advisor by proving an ongoing value through accountability, proactive communication and transparency, while providing tailored solutions aligned to each client’s goals and use cases. Consistency creates reliability, and the client’s success is MHK’s success. Required Qualifications Five (5) years of experience within health plan or PBM areas of Utilization Management, Care Management, Pharmacy Management, Complaints, Appeals and Grievances. Strong understanding of the healthcare industry and experience working with/knowledge of CMS, NCQA, URAC and other health plan accreditation and regulatory compliance. Previous experience with leveraging technology solutions to support health plan or PBM operations, supporting software solution implementations, and defining user requirements. Ability to adapt to competing demands, take on new responsibilities, and adjust plans to meet shifting priorities. Ability to maintain a positive, constructive approach to problem solving internally and during customer interactions with focus on timely and accurate issue resolution. Previous experience translating business requirements into system configuration. Previous "Scrum" based product development experience in SaaS environment, including hands‑on active participation in production support, implementations, and projects. Previous experience performing detailed market, competitive, customer needs and software product feature analysis. Previous experience defining, building, and executing test cases. Experience presenting and communicating with all levels of organizations. Excellent written, verbal communication and interpersonal skills. Proficient with Jira, Word, Power Point, Excel, Visio and Document Management. Additional Requirements Occasional travel to support client projects. Ability to sit for extended periods of time and work across time zones (when necessary). At MHK we help health plans and pharmacy benefit managers deliver optimal care management across every member’s health journey. We do this through state‑of‑the‑art technology that provides critical insights from member enrollment and maintenance through every stage of care and compliance. We believe that long‑term partnerships are built on trust. Our team members are expected to build trusted advisory relationships – with MHK clients and one another – through responsive, transparent communication, while honoring commitments, and tying that trust to outcomes. Benefits Snapshot Medical, vision, and dental plans for full time employees 401(k) offered with a generous match Benefits begin on first day of the month following employment Exercise/Health Club reimbursement opportunity Monthly dependent care reimbursement opportunity Short Term and Long Term disability Basic Term Life and AD&D Insurance Paid Time Off 18 days Paid Time Off 15 Company Paid Holidays

EQUAL OPPORTUNITY EMPLOYER - VETERANS/DISABLED.

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