HealthCare Business Analyst with Pre-Auth experience

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.

Remote - CST No OT BGV initiated/ Standard laptop Must Have's: .net; SQL; Facets JD: * Strong hands-on experience as a Senior FACETS Developer with deep expertise in the FACETS healthcare platform. * In-depth knowledge of FACETS architecture, configuration, integrations, and core functionality, with proven experience in designing, developing, and supporting healthcare solutions. * Extensive experience in healthcare domains such as Enrollment, Claims, and Provider Management, with strong knowledg

Facets Integration Developer 100% Remote What is in it for you?We are seeking an experienced Facets Integration Developer to support the development, enhancement, and integration of healthcare payer systems centered around the TriZetto Facets platform. The ideal candidate will have strong experience in designing and developing integrations between Facets and enterprise applications, leveraging APIs, middleware, ETL processes, and healthcare data standards. The role requires close collaboration w

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Healthcare Solution Architect Location: Baltimore, MD (Remote Required Once