Senior Facets / Java Developer

Software Engineering, Java, Java, Software Engineering, Java Platform Enterprise Edition (Java EE/J2EE), Computer Programming, Medicaid, Regulatory Requirements, Managed Care, Operations Management, * Strong hands-on experience with TriZetto 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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