Eden Prairie, MN30+ days ago
Total Years of Utilization Management (UM) Experience: Total Years of Experience in Authorizations (UM): Total Years of Experience in Referrals (UM): Total Years of Experience with Tapestry Care Link (Must-have): Total Years of Experience in UM Workflow Configuration (Routing Rules, WQs, Decision Logic): Total Years of Experience with Letters / Notifications / Templates / SmartText: Total Years of Experience with Prior Authorization Workflows: Total Years of Experience with Referral Management (In/Out-of-Network): Total Years of Experience with Payer Operations (UM processes): Motivation / Reason for Relocation (if not local): Motivation / Reason for interest in this position: Contact Number: Email ID: LinkedIn Profile URL: Full Address (Street, City, State, Zip Code): Notice Period (in weeks): Current Work Authorization Status: Expected Hourly Rates on W2: Are you able to relocate on your own expenses and work 100% ON-SITE in Eden Prairie, MN?
Configure and optimize Tapestry UM workflows for prior authorizations (e.g., medical, behavioral health, pharmacy-to-medical crossovers) and referrals (in- and out-of-network), including routing rules, WQs, templates, smart text, decision trees, and notification logic.