Life Sciences Project Manager

Job Title : Healthcare Domain consultant

Life Sciences Business Architect with a strong Life Sciences background and Pre-Authorization experience on the provider side .

Role Overview - Valencia, CA

We are seeking an experienced Domain Consultant with deep expertise in the Pre-Authorization (Pre-Auth) space within Life Sciences and Healthcare . The ideal candidate will bring a strong understanding of payer, provider, and life sciences ecosystems, including regulatory frameworks, utilization management, patient access, and digital transformation trends. This role will combine domain knowledge, client advisory, and solution design to drive strategic engagements for pharmaceutical, biotech, and med-tech clients.

Key Responsibilities

• Act as a subject matter expert (SME) in pre-authorization workflows, covering medical necessity, clinical documentation, prior authorization rules, and payer–provider interactions.
• Support clients in transforming pre-auth processes to improve speed, compliance, and patient experience.
• Analyze existing business processes, identify gaps, and design target operating models for pre-auth.
• Partner with technology teams to shape digital and GenAI solutions (e.g., automated prior authorization, real-time benefit checks, interoperability with EMR / EHR).
• Advise on compliance with CMS, FDA, and global regulations around pre-authorization, patient safety, and access.
• Collaborate with product managers, architects, and delivery teams to ensure business requirements are translated into solution designs .
• Conduct workshops with client stakeholders to gather business requirements, define KPIs, and build consensus.
• Contribute to thought leadership (white papers, PoVs, webinars) on pre-auth trends and innovation in life sciences.

Required Skills & Experience

Preferred Qualifications