Pre-Auth Consultant
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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 .
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.
Pay: $60.00 - $70.00 per hour
Work Location: Remote