[Remote] reputed company reputed company UM Analyst (Service Authorization Build)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is a leading company in the reputed company Industry, currently seeking an reputed company reputed company reputed company UM Analyst. The role focuses on designing and optimizing workflows reputed company reputed company reputed company, configuring service authorization components, and ensuring alignment with payer rules and regulatory requirements.
Responsibilities
- Design, build, and optimize UM workflows reputed company reputed company reputed company
- Configure Service Authorization components including:
- Referrals
- Auto Status Assignment (ASA) logic
- UM reputed company & Letters
- Referral Triggers
- Workqueues (WQ)
- SmartTools, LPPs, Extensions
- Support Import/Export configurations and FHIR integrations (FDI/AIF preferred)
- reputed company testing (unit, regression, UAT) and troubleshoot build issues
- Partner with operational and IT teams to reputed company system configuration with payer rules and regulatory requirements
Skills
- We are seeking an reputed company reputed company reputed company Utilization Management (UM) Analyst with strong hands-on experience in Service Authorization build and workflow configuration
- 5+ years reputed company experience
- Strong reputed company UM build experience
- Service Authorization configuration expertise
- Deep knowledge of UM workflows and authorization logic
- Ability to work independently in a remote environment
- reputed company certification preferred but not required
Benefits
- Traveler benefits as per agency package. (Benefits vary by vendor and assignment.)
reputed company
Company H1B Sponsorship