More jobs:
Pre-Auth; Prior Authorization Consultant
Job in
Portland, Multnomah County, Oregon, 97204, USA
Listed on 2026-06-12
Listing for:
Magicforce
Full Time
position Listed on 2026-06-12
Job specializations:
-
IT/Tech
Cybersecurity
Job Description & How to Apply Below
Overview:
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.
Skills:
FACETS UM/Pre-Auth Configuration ITS/Authorization Routing Logic SQL & Rule Traceability
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