Job Description
Our client, an IT Services and Consulting company, is looking for a Pega Healthcare Claims Developer – Facets / EDI 835/837 for their Remote location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Pega Developer with experience in Designing, developing and configuring Pega applications for Healthcare Claims processing. Skilled in building flows in Pega, integrating with application called Facets and analyzing and translating the business requirements.
- Design, develop, and configure Pega applications for healthcare claims processing, adjudication, and workflow automation integrated with Facets.
- Work on Facets modules (Claims, Membership, Billing, Provider) to support end-to-end claims lifecycle management including intake, adjudication, and payment processing.
- Build and customize Pega case types, flows, decision rules, and UI rules to automate claims exception handling and manual review processes.
- Integrate Pega with Facets and other core administration systems using REST/SOAP APIs, connectors, and data pages.
- Analyze and translate healthcare claims business requirements (HIPAA, EDI 837/835, X12 transactions) into Pega application design.
Requirements:
- Required Skills:
- Pega
- Facets (Claims, Membership, Billing, Provider)
- EDI 835, 837
- Good collaboration with business and other teams
- Experienced in collaborating with business analysts, architects, and QA teams to deliver high quality applications.
- Years of Experience: 8+ Years of Experience
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Remote, VA (Remote) |
| Industry | Management Consulting Services |
| Salary | $52.14 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.
Skills
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