Java Developer Medicaid Regulatory Solutions

Lorven Technologies Inc
United States
1 day ago
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Role details

Contract type
Contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Job source

Tech stack

Java (Programming Language) Application Programming Interfaces (APIs) Automation of Tests Batch Processing Software Quality Computer Programming Databases Continuous Integration Data Integration Extract Transform Load (ETL) IBM InfoSphere DataStage Software Debugging
+2 more
SQL Databases Talend

Requirements

  • Bachelor’s degree in related field
  • Strong hands-on experience with Facets.
  • Strong Java/J2EE engineering and programming skills.
  • Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies.
  • Strong understanding of Medicaid managed-care operations and state-specific regulatory requirements.
  • Experience implementing regulatory or business-rule changes within healthcare payer platforms.
  • Strong Facets experience in:
  • Membership
  • Eligibility
  • Benefits
  • Claims
  • Claims adjudication
  • Pricing/payment processing
  • Good understanding of both Medicaid and Medicare health-plan processes.
  • Experience with SQL, databases, batch processing, APIs/interfaces and data integration.
  • Strong debugging, production support and root-cause-analysis skills.
  • Ability to interpret business/regulatory requirements and convert them into detailed technical solutions. Preferred

  • Medicare-Medicaid / dual-eligible experience.
  • Experience working with multiple state Medicaid programs.
  • Experience supporting large health plans or Medicaid MCO environments.
  • Healthcare EDI/X12 knowledge.
  • Knowledge of automated CI/CD, code quality and test automation practices

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