Utilization Management with Facets & Pre-Auth Exp.

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. Educational Qualifications: - Engineering Degree - BE/ME/BTech/MTech/BSc/MSc. · Technical certification in multiple technologies is desirable.