Why This Role Stands Out
This hybrid role offers significant career growth as you'll leverage your expertise in Facets and Pre-Auth to build innovative healthcare applications within an Agile environment. You'll thrive if you have a deep understanding of US healthcare payer operations and enjoy collaborating with stakeholders to implement complex configurations. Don't miss this exciting opportunity to advance your skills and make a real impact!
Quick Overview
Job Description
As a Facets with Pre-Auth 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 Healthcare
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
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