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Facets/ Pre-Auth Consultant

Remote • Posted 2 hours ago • Updated 2 hours ago

Contract Independent

Contract W2

12 Months

No Travel Required

Remote

Depends on Experience

Magicforce

Fitment

Dice Job Match Score™

🔢 Crunching numbers...

Job Details

Skills

Facets
Utilization management (UM)
prior authorization (PA)
SQL

Summary

As a Facets with Pre-Auth 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 Healthcare

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

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91163955
Position Id: 9073436
Posted 2 hours ago

Company Info

About Magicforce

MagicForce, is a Global Information Technology (IT) Staffing & Recruiting Firm, providing IT Staffing, Consulting, and Recruiting services. Responding to constantly changing technology needs and initiatives using internal staff alone becomes a challenge for most companies and IT departments.

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Batch User

Recruiter @ Magicforce

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