Facets Pre-Auth Consultant

• Posted 1 hour ago • Updated 54 minutes ago
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Job Details

Skills

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

Summary

Role: Facets with Pre-Auth

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: - Min 10+Years

Location: - Remote USA

Responsibilities: -

Min 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

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: 91122967
  • Position Id: 2026-4317/122586
  • Posted 1 hour ago

Company Info

About ADDSOURCE

AddSource is a premier staffing and workforce solutions partner headquartered  in  Delaware,  USA,  with  operations  in  Alberta,  Canada  under  the  brand  name AddSource.

We  specialize  in  connecting  top-tier  talent  with  leading organizations across diverse industry sectors.

With  a  strong  commitment  to  excellence,  our  mission  is  to deliver innovative, customized staffing solutions that empower clients  to  achieve  their  goals  while  helping  candidates advance their careers.

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