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Life Sciences Business Architect
Job in
Santa Clarita, Los Angeles County, California, 91382, USA
Listed on 2026-02-01
Listing for:
Saransh Inc
Full Time
position Listed on 2026-02-01
Job specializations:
-
Healthcare
Healthcare Consultant, Healthcare Management
Job Description & How to Apply Below
6 days ago — Be among the first 25 applicants
Role: Life Sciences Business Architect / Domain Consultant
Experience: 7–12 Years
Location: Valencia, CA
OverviewWe’re looking for an experienced professional with strong expertise in the Pre-Authorization (Pre-Auth) space within Life Sciences and Healthcare
. The role involves advising clients, analyzing processes, and designing digital solutions to optimize pre-auth workflows and patient access.
- Act as a Subject Matter Expert (SME) in pre-authorization workflows (medical necessity, clinical documentation, payer–provider interactions).
- Analyze current processes and design target operating models for pre-auth transformation.
- Collaborate with tech teams to design and implement digital/AI-based pre-auth solutions.
- Ensure compliance with CMS, FDA, and global regulations.
- Lead client workshops and define KPIs to improve efficiency and patient experience.
- 7–12 years in Life Sciences, Healthcare, or Payer/Provider domains (with 3–5 years in Pre‑Auth or Utilization Management).
- Deep understanding of prior authorization workflows, interoperability (HL7 FHIR, X12, NCPDP), and clinical guidelines.
- Hands‑on experience with EHR, claims, and benefit management systems.
- Excellent consulting, business analysis, and stakeholder management skills.
- Knowledge of CMS interoperability mandates and Life Sciences value chain.
- Exposure to AI/automation use cases in pre‑auth.
- MBA or advanced degree in Life Sciences/Healthcare preferred.
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