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Facets Pre-Auth Consultant

ADDSOURCEUnited States🇺🇸United StatesPosted 1 Sept 2026

Why This Role Stands Out

This hybrid role offers a fantastic opportunity to leverage your extensive Facets Pre-Auth expertise within an Agile environment, contributing to impactful healthcare application development. You'll thrive here if you possess a deep understanding of US healthcare payer operations and a passion for analyzing complex configurations, with the flexibility of remote work adding to the appeal. Apply today to join a dynamic team and advance your career in a reputable company.

Quick Overview

Seniority
Mid Senior
Work mode
Hybrid
Location
United States
Posted
1 week ago
SQLAgile

Job Description

Role: Facets with Pre-Auth

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 .

Experience: - Min 10+Years

Location: - Remote USA

Responsibilities: -

Min 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.

Skills: -

Mandatory skills

FACETS UM/Pre-Auth Configuration ITS/Authorization Routing Logic SQL & Rule Traceability

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