Pre-Auth Consultant

As a Pre-Auth  Consultant you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards .

Mandatory skills

• FACETS UM/Pre-Auth Configuration • ITS/Authorization Routing Logic • SQL & Rule Traceability

Responsibilities: -

7 - 10 years in UM/Pre-Auth configuration within FACETS.

• Familiarity with UM workflows, clinical guidelines, and state mandates.

 • Experience working with clinical/utilization management stakeholders

. • Deep understanding of US Healthcare payer operations.

 • Ability to analyze complex rules and configurations.

• Strong documentation and communication skills.

Educational Qualifications: -

• Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.

·       Technical certification in multiple technologies is desirable.