Utilization Management with Facets & Pre-Auth Exp.

Magicforce

Job Location:

Portland, OR - USA

Monthly Salary: Not Disclosed

Posted on: 8 days ago

Vacancies: 1 Vacancy

Job Summary

As aPre-Auth Consultantyou 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 Configuration ITS/Authorization Routing Logic SQL & Rule Traceability

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.

Required Skills:

FacetsPre-Authconfiguration

As aPre-Auth Consultantyou 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 Configuration ITS/Authorization Routing Logic SQL & Rule Traceability Responsibil...