Remote
•
Today
Key Responsibilities< data-start=888 data-end=926>Solution Design & DevelopmentConfigure and optimize Tapestry UM workflows for:Prior authorizations (medical, behavioral health, and pharmacy-to-medical crossovers)Referral management (in-network and out-of-network)Build and maintain routing rules, workqueues, templates, smart texts, decision trees, and notification logicEnsure alignment of UM workflows with:Benefit plan configurationsProvider network structuresCare management processesClaims adju
Easy Apply
Contract, Third Party
50 - 60
















