Utilization Management with Facets & Pre-Auth Exp.
Job Location:
Portland, OR - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
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
