Facets 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 .

Experience: -

10+Years

Location: -

Remote USA

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.

Skills: -

Mandatory skills

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