Senior Facets / Java Developer(Medicaid Regulatory)
We are seeking a "Senior Facets / Java Developer – Medicaid Regulatory Solutions" with strong hands-on expertise in TriZetto Facets, Mainframe, or Java/J2EE development and healthcare payer systems. The ideal candidate will have experience supporting Medicaid regulatory solutions and state-specific healthcare requirements.
Key Responsibilities:
Develop, enhance, and maintain healthcare payer applications using Facets, Java/J2EE, or Mainframe technologies.
Implement state-specific Medicaid regulatory changes and assess their impact on payer operations.
Support member enrollment, eligibility, benefits, claims adjudication, pricing, and payment processes.
Develop and maintain APIs, system integrations, batch jobs, and downstream interfaces.
Work with databases and data integration tools such as IBM DataStage and Talend.
Troubleshoot issues, perform testing, and ensure regulatory compliance.
Required Skills:
Strong expertise in Facets and Mainframe or Java/J2EE.Hands-on healthcare payer and Medicaid managed-care experience.
Knowledge of Medicare, Medicaid-Medicare processes, claims, enrollment, and eligibility.
Experience with integrations, batch processing, databases, and regulatory implementations.