Life Sciences Business Architect

Role : Life Sciences Business Architect / Domain Consultant

Experience : 7 12 Years

Location : Valencia CA

Overview :

Were 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.

Key Responsibilities :

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.

Required Skills :

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.

Preferred :

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.

Key Skills

Atl,Coaching,Autocad,Financial Planning,Architecture

Employment Type : Full Time

Experience : years

Vacancy : 1