What are the responsibilities and job description for the Life Sciences Business Architect / Domain Consultant position at Kaizen Technologies?
Job Details
Job Summary (List Format):
- Serve as a subject matter expert in pre-authorization (pre-auth) processes within the life sciences and healthcare industry.
- Advise pharmaceutical, biotech, and med-tech clients on transforming pre-auth workflows to improve speed, compliance, and patient experience.
- Analyze current business processes, identify gaps, and design improved operating models for pre-authorization.
- Collaborate with technology teams to design and implement digital and AI-based pre-auth solutions, including real-time benefit checks and EMR/EHR interoperability.
- Ensure solutions comply with CMS, FDA, and international regulations regarding pre-auth, patient safety, and access.
- Work closely with product managers, architects, and delivery teams to align business needs with technical solutions.
- Conduct stakeholder workshops to gather requirements, define KPIs, and build consensus on pre-auth initiatives.
- Contribute to thought leadership by developing white papers, points of view, and delivering webinars on pre-auth innovation and trends.
- Serve as a subject matter expert in pre-authorization (pre-auth) processes within the life sciences and healthcare industry.
- Advise pharmaceutical, biotech, and med-tech clients on transforming pre-auth workflows to improve speed, compliance, and patient experience.
- Analyze current business processes, identify gaps, and design improved operating models for pre-authorization.
- Collaborate with technology teams to design and implement digital and AI-based pre-auth solutions, including real-time benefit checks and EMR/EHR interoperability.
- Ensure solutions comply with CMS, FDA, and international regulations regarding pre-auth, patient safety, and access.
- Work closely with product managers, architects, and delivery teams to align business needs with technical solutions.
- Conduct stakeholder workshops to gather requirements, define KPIs, and build consensus on pre-auth initiatives.
- Contribute to thought leadership by developing white papers, points of view, and delivering webinars on pre-auth innovation and trends.
- Leverage 10 12 years of experience in life sciences, healthcare, or payer/provider domains, with specific expertise in pre-authorization or utilization management.
- Demonstrate strong knowledge of prior authorization workflows, interoperability standards, clinical guidelines, and patient access challenges.
- Utilize hands-on experience with provider-side systems such as EHR, claims processing, and benefit management.
- Apply excellent consulting, business analysis, communication, and stakeholder management skills.
- Preferred: Experience with CMS interoperability mandates, knowledge of the life sciences value chain, exposure to AI/ML solutions in utilization management, and advanced degrees (MBA, Life Sciences, Healthcare Management, or Pharmacy).
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